Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $110.48 / $110.48 / $142.04	Facility		$110.48	$110.48	$142.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $110.48 / $150.19 / $285.89	Professional		$110.48	$150.19	$285.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $329.29 / $4,340.70 / $6,639.76	Facility		$329.29	$4,340.70	$6,639.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $115.66 / $221.57 / $611.41	Professional		$115.66	$221.57	$611.41
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $492.35 / $1,691.52 / $2,711.20	Facility		$492.35	$1,691.52	$2,711.20
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $121.06 / $230.09 / $540.13	Professional		$121.06	$230.09	$540.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $41.40 / $124.57 / $226.10	Professional		$41.40	$124.57	$226.10
United Facility/Professional Facility Modifier Low / Median / High Price $3,671.00 / $3,812.19 / $14,029.60	Facility		$3,671.00	$3,812.19	$14,029.60
United Facility/Professional Professional Modifier Low / Median / High Price $138.82 / $208.24 / $478.85	Professional		$138.82	$208.24	$478.85
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $123.95 / $123.95 / $123.95	Professional		$123.95	$123.95	$123.95