Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.97 / $187.49 / $1,961.00	Facility		$38.97	$187.49	$1,961.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.97 / $54.85 / $84.10	Professional		$38.97	$54.85	$84.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.42 / $65.72 / $107.74	Professional		$40.42	$65.72	$107.74
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 $35.86 / $60.73 / $93.87	Professional		$35.86	$60.73	$93.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $51.39 / $69.02 / $91.99	Professional		$51.39	$69.02	$91.99
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 $51.51 / $66.65 / $113.44	Professional		$51.51	$66.65	$113.44
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $37.82 / $66.81 / $66.81	Professional		$37.82	$66.81	$66.81