Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $181.95 / $3,276.00 / $11,576.00	Facility		$181.95	$3,276.00	$11,576.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $167.91 / $254.41 / $397.87	Professional		$167.91	$254.41	$397.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $140.10 / $142.07 / $169.13	Facility		$140.10	$142.07	$169.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.77 / $334.72 / $583.86	Professional		$190.77	$334.72	$583.86
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 $103.75 / $225.80 / $404.74	Professional		$103.75	$225.80	$404.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $271.55 / $403.96 / $602.09	Professional		$271.55	$403.96	$602.09
United Facility/Professional Facility Modifier Low / Median / High Price $321.68 / $1,916.00 / $5,107.00	Facility		$321.68	$1,916.00	$5,107.00
United Facility/Professional Professional Modifier Low / Median / High Price $212.57 / $308.02 / $579.59	Professional		$212.57	$308.02	$579.59
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $155.75 / $201.84 / $201.84	Professional		$155.75	$201.84	$201.84