Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $111.70 / $111.70 / $137.04	Facility		$111.70	$111.70	$137.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.70 / $144.06 / $238.22	Professional		$111.70	$144.06	$238.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $119.37 / $715.12 / $964.00	Facility		$119.37	$715.12	$964.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.85 / $194.96 / $579.00	Professional		$108.85	$194.96	$579.00
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 $113.01 / $189.98 / $531.28	Professional		$113.01	$189.98	$531.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $38.36 / $121.99 / $222.41	Professional		$38.36	$121.99	$222.41
United Facility/Professional Facility Modifier Low / Median / High Price $716.01 / $3,670.04 / $8,257.59	Facility		$716.01	$3,670.04	$8,257.59
United Facility/Professional Professional Modifier Low / Median / High Price $123.82 / $186.58 / $412.67	Professional		$123.82	$186.58	$412.67
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $92.15 / $92.15 / $92.15	Professional		$92.15	$92.15	$92.15