Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $188.30 / $2,815.00 / $10,632.00	Facility		$188.30	$2,815.00	$10,632.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $176.24 / $220.17 / $310.45	Professional		$176.24	$220.17	$310.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $126.73 / $128.51 / $152.99	Facility		$126.73	$128.51	$152.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $189.62 / $280.47 / $438.08	Professional		$189.62	$280.47	$438.08
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $1,438.00 / $2,403.00 / $4,241.00	Facility		$1,438.00	$2,403.00	$4,241.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $93.42 / $187.78 / $264.33	Professional		$93.42	$187.78	$264.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.40 / $182.51 / $299.14	Professional		$33.40	$182.51	$299.14
United Facility/Professional Facility Modifier Low / Median / High Price $366.00 / $1,950.00 / $5,107.00	Facility		$366.00	$1,950.00	$5,107.00
United Facility/Professional Professional Modifier Low / Median / High Price $164.72 / $228.06 / $406.07	Professional		$164.72	$228.06	$406.07
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $180.00 / $190.22 / $190.22	Professional		$180.00	$190.22	$190.22