Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $169.10 / $3,276.00 / $11,576.00	Facility		$169.10	$3,276.00	$11,576.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $159.15 / $224.80 / $364.60	Professional		$159.15	$224.80	$364.60
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 $182.18 / $299.11 / $503.35	Professional		$182.18	$299.11	$503.35
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 $119.30 / $224.97 / $354.26	Professional		$119.30	$224.97	$354.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $254.30 / $372.93 / $541.82	Professional		$254.30	$372.93	$541.82
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 $206.07 / $289.27 / $527.28	Professional		$206.07	$289.27	$527.28
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $147.07 / $218.47 / $218.47	Professional		$147.07	$218.47	$218.47