Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $668.00 / $4,790.00 / $11,576.00	Facility		$668.00	$4,790.00	$11,576.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $119.95 / $199.92 / $213.32	Professional		$119.95	$199.92	$213.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $323.00 / $830.51 / $988.71	Facility		$323.00	$830.51	$988.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $187.03 / $331.91 / $397.67	Professional		$187.03	$331.91	$397.67
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 $111.22 / $1,388.80 / $1,472.87	Professional		$111.22	$1,388.80	$1,472.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $50.00 / $2,636.44	Professional		$50.00	$50.00	$2,636.44
United Facility/Professional Facility Modifier Low / Median / High Price $803.00 / $3,611.00 / $8,105.00	Facility		$803.00	$3,611.00	$8,105.00
United Facility/Professional Professional Modifier Low / Median / High Price $160.79 / $238.20 / $398.91	Professional		$160.79	$238.20	$398.91
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $195.37 / $195.37 / $195.37	Professional		$195.37	$195.37	$195.37