Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $474.00 / $4,109.00 / $11,576.00	Facility		$474.00	$4,109.00	$11,576.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $130.54 / $150.27 / $219.28	Professional		$130.54	$150.27	$219.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $210.74 / $214.12 / $432.00	Facility		$210.74	$214.12	$432.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $129.80 / $189.68 / $332.80	Professional		$129.80	$189.68	$332.80
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $1,752.00 / $2,882.00 / $6,066.00	Facility		$1,752.00	$2,882.00	$6,066.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $110.22 / $145.38 / $373.64	Professional		$110.22	$145.38	$373.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $136.96 / $186.57 / $239.97	Professional		$136.96	$186.57	$239.97
United Facility/Professional Facility Modifier Low / Median / High Price $366.00 / $1,916.00 / $4,970.00	Facility		$366.00	$1,916.00	$4,970.00
United Facility/Professional Professional Modifier Low / Median / High Price $118.57 / $161.54 / $324.70	Professional		$118.57	$161.54	$324.70
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $117.45 / $117.45 / $117.45	Professional		$117.45	$117.45	$117.45