Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $539.00 / $3,401.00 / $11,550.00	Facility		$539.00	$3,401.00	$11,550.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $119.84 / $199.74 / $238.86	Professional		$119.84	$199.74	$238.86
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 $50.91 / $54.30 / $58.72	Facility		$50.91	$54.30	$58.72
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $117.03 / $123.41 / $145.41	Professional		$117.03	$123.41	$145.41
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 $1,170.00 / $5,417.00 / $13,093.00	Facility		$1,170.00	$5,417.00	$13,093.00
United Facility/Professional Professional Modifier Low / Median / High Price $144.52 / $192.00 / $321.26	Professional		$144.52	$192.00	$321.26
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $392.87 / $392.87 / $392.87	Professional		$392.87	$392.87	$392.87