Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $474.00 / $4,022.00 / $11,550.00	Facility		$474.00	$4,022.00	$11,550.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $171.12 / $264.30	Professional		$147.91	$171.12	$264.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $104.95 / $106.64 / $432.00	Facility		$104.95	$106.64	$432.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $146.66 / $215.10 / $405.09	Professional		$146.66	$215.10	$405.09
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $1,438.00 / $2,394.00 / $4,243.00	Facility		$1,438.00	$2,394.00	$4,243.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $124.98 / $176.03 / $451.54	Professional		$124.98	$176.03	$451.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $161.64 / $219.63 / $280.24	Professional		$161.64	$219.63	$280.24
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 $137.51 / $183.34 / $374.94	Professional		$137.51	$183.34	$374.94
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $133.02 / $133.02 / $133.02	Professional		$133.02	$133.02	$133.02