Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $148.15 / $246.92 / $1,946.00	Facility		$148.15	$246.92	$1,946.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $148.15 / $246.92 / $276.30	Professional		$148.15	$246.92	$276.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $287.45 / $696.18 / $3,559.00	Facility		$287.45	$696.18	$3,559.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $594.97 / $1,202.06 / $1,202.06	Professional		$594.97	$1,202.06	$1,202.06
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $908.13 / $1,236.79 / $2,317.91	Facility		$908.13	$1,236.79	$2,317.91
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $110.56 / $242.43 / $266.41	Professional		$110.56	$242.43	$266.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $50.00 / $476.87	Professional		$50.00	$50.00	$476.87
United Facility/Professional Facility Modifier Low / Median / High Price $573.00 / $3,514.00 / $7,044.00	Facility		$573.00	$3,514.00	$7,044.00
United Facility/Professional Professional Modifier Low / Median / High Price $195.94 / $266.41 / $465.06	Professional		$195.94	$266.41	$465.06
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $803.81 / $803.81 / $803.81	Professional		$803.81	$803.81	$803.81