Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $143.37 / $3,401.00 / $11,481.00	Facility		$143.37	$3,401.00	$11,481.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.89 / $143.37 / $204.11	Professional		$91.89	$143.37	$204.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $494.00 / $494.00 / $494.00	Facility		$494.00	$494.00	$494.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.96 / $155.01 / $259.45	Professional		$91.96	$155.01	$259.45
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $181.17 / $193.25 / $208.95	Facility		$181.17	$193.25	$208.95
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $94.91 / $132.84 / $200.17	Professional		$94.91	$132.84	$200.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $105.88 / $165.06 / $228.95	Professional		$105.88	$165.06	$228.95
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 $129.08 / $167.34 / $291.52	Professional		$129.08	$167.34	$291.52
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $81.45 / $132.26 / $132.26	Professional		$81.45	$132.26	$132.26