Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $539.00 / $3,714.00 / $11,576.00	Facility		$539.00	$3,714.00	$11,576.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $160.05 / $224.90 / $317.68	Professional		$160.05	$224.90	$317.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $323.00 / $323.00 / $323.00	Facility		$323.00	$323.00	$323.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.88 / $228.06 / $452.13	Professional		$151.88	$228.06	$452.13
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $1,144.00 / $2,674.00 / $6,696.00	Facility		$1,144.00	$2,674.00	$6,696.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $156.31 / $220.84 / $278.98	Professional		$156.31	$220.84	$278.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $52.29 / $90.10 / $159.76	Professional		$52.29	$90.10	$159.76
United Facility/Professional Facility Modifier Low / Median / High Price $345.00 / $1,911.00 / $4,970.00	Facility		$345.00	$1,911.00	$4,970.00
United Facility/Professional Professional Modifier Low / Median / High Price $200.73 / $315.25 / $530.37	Professional		$200.73	$315.25	$530.37
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $47.54 / $96.76 / $96.76	Professional		$47.54	$96.76	$96.76