Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $184.71 / $2,815.00 / $10,632.00	Facility		$184.71	$2,815.00	$10,632.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.79 / $221.98 / $345.02	Professional		$141.79	$221.98	$345.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $323.00 / $1,198.01 / $1,426.20	Facility		$323.00	$1,198.01	$1,426.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $163.54 / $287.88 / $495.52	Professional		$163.54	$287.88	$495.52
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $4,189.00 / $8,488.00 / $16,195.00	Facility		$4,189.00	$8,488.00	$16,195.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $103.37 / $221.29 / $327.73	Professional		$103.37	$221.29	$327.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.30 / $264.01 / $416.29	Professional		$32.30	$264.01	$416.29
United Facility/Professional Facility Modifier Low / Median / High Price $1,014.00 / $3,611.00 / $8,105.00	Facility		$1,014.00	$3,611.00	$8,105.00
United Facility/Professional Professional Modifier Low / Median / High Price $198.42 / $282.94 / $534.69	Professional		$198.42	$282.94	$534.69
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $132.51 / $238.22 / $238.22	Professional		$132.51	$238.22	$238.22