Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $377.00 / $3,276.00 / $11,481.00	Facility		$377.00	$3,276.00	$11,481.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.90 / $89.87 / $128.00	Professional		$57.90	$89.87	$128.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $323.00 / $323.00 / $323.00	Facility		$323.00	$323.00	$323.00
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $181.17 / $193.25 / $208.95	Facility		$181.17	$193.25	$208.95
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $40.51 / $86.35 / $97.96	Professional		$40.51	$86.35	$97.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $40.00 / $50.00	Professional		$40.00	$40.00	$50.00
United Facility/Professional Facility Modifier Low / Median / High Price $366.00 / $1,950.00 / $5,107.00	Facility		$366.00	$1,950.00	$5,107.00
United Facility/Professional Professional Modifier Low / Median / High Price $65.42 / $93.46 / $156.91	Professional		$65.42	$93.46	$156.91
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $111.26 / $111.26 / $111.26	Professional		$111.26	$111.26	$111.26