Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.55 / $3,029.00 / $10,632.00	Facility		$25.55	$3,029.00	$10,632.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.66 / $25.55 / $44.36	Professional		$13.66	$25.55	$44.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.05 / $28.91 / $50.14	Professional		$15.05	$28.91	$50.14
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 $21.73 / $24.84 / $42.93	Professional		$21.73	$24.84	$42.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $31.92 / $45.60	Professional		$16.60	$31.92	$45.60
United Facility/Professional Facility Modifier Low / Median / High Price $366.00 / $1,950.00 / $4,970.00	Facility		$366.00	$1,950.00	$4,970.00
United Facility/Professional Professional Modifier Low / Median / High Price $24.00 / $31.98 / $56.06	Professional		$24.00	$31.98	$56.06
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $12.77 / $25.02 / $25.02	Professional		$12.77	$25.02	$25.02