Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $103.48 / $3,276.00 / $10,632.00	Facility		$103.48	$3,276.00	$10,632.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.52 / $105.61 / $151.28	Professional		$59.52	$105.61	$151.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $432.00 / $432.00 / $432.00	Facility		$432.00	$432.00	$432.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.24 / $107.65 / $193.87	Professional		$60.24	$107.65	$193.87
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $314.73 / $335.71 / $362.99	Facility		$314.73	$335.71	$362.99
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $70.54 / $96.24 / $146.75	Professional		$70.54	$96.24	$146.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.38 / $101.75 / $146.02	Professional		$68.38	$101.75	$146.02
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 $97.52 / $125.38 / $221.24	Professional		$97.52	$125.38	$221.24
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $52.60 / $97.28 / $97.28	Professional		$52.60	$97.28	$97.28