Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $250.00 / $1,635.00 / $2,235.00	Facility		$250.00	$1,635.00	$2,235.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $250.00 / $400.00 / $602.92	Professional		$250.00	$400.00	$602.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $231.63 / $698.54 / $744.98	Facility		$231.63	$698.54	$744.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $283.27 / $539.00 / $1,104.83	Professional		$283.27	$539.00	$1,104.83
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $769.12 / $1,527.04 / $2,411.91	Facility		$769.12	$1,527.04	$2,411.91
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $317.44 / $527.16 / $779.66	Professional		$317.44	$527.16	$779.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $127.44 / $254.79 / $465.07	Professional		$127.44	$254.79	$465.07
United Facility/Professional Facility Modifier Low / Median / High Price $338.49 / $1,083.56 / $2,438.01	Facility		$338.49	$1,083.56	$2,438.01
United Facility/Professional Professional Modifier Low / Median / High Price $339.02 / $482.62 / $958.18	Professional		$339.02	$482.62	$958.18
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $290.18 / $290.18 / $290.18	Professional		$290.18	$290.18	$290.18