Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.55 / $3,276.00 / $11,576.00	Facility		$128.55	$3,276.00	$11,576.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.18 / $188.30 / $294.82	Professional		$128.18	$188.30	$294.82
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 $139.07 / $243.97 / $442.33	Professional		$139.07	$243.97	$442.33
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 $100.26 / $181.89 / $289.60	Professional		$100.26	$181.89	$289.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $197.70 / $284.22 / $431.53	Professional		$197.70	$284.22	$431.53
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 $166.02 / $237.01 / $432.47	Professional		$166.02	$237.01	$432.47
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $112.85 / $192.97 / $192.97	Professional		$112.85	$192.97	$192.97