Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $3,715.35 / $12,022.64	Facility		$630.96	$3,715.35	$12,022.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $323.59 / $630.96	Professional		$218.78	$323.59	$630.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $12,589.25 / $53,703.18	Facility		$162.18	$12,589.25	$53,703.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $389.05 / $812.83	Professional		$199.53	$389.05	$812.83
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $6,165.95 / $11,748.98 / $22,908.68	Facility		$6,165.95	$11,748.98	$22,908.68
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $239.88 / $562.34	Professional		$204.17	$239.88	$562.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $331.13	Professional		$32.36	$33.11	$331.13
United Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $7,585.78 / $12,022.64	Facility		$2,630.27	$7,585.78	$12,022.64
United Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $371.54 / $645.65	Professional		$213.80	$371.54	$645.65
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $223.87 / $288.40	Professional		$194.98	$223.87	$288.40