Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $62.39 / $3,276.00 / $11,576.00	Facility		$62.39	$3,276.00	$11,576.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.72 / $81.47 / $115.08	Professional		$58.72	$81.47	$115.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.48 / $66.41 / $79.06	Facility		$65.48	$66.41	$79.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.31 / $104.18 / $177.75	Professional		$65.31	$104.18	$177.75
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 $38.44 / $79.20 / $111.41	Professional		$38.44	$79.20	$111.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $77.52 / $107.36 / $164.82	Professional		$77.52	$107.36	$164.82
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 $68.22 / $93.87 / $170.30	Professional		$68.22	$93.87	$170.30
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $54.64 / $79.92 / $79.92	Professional		$54.64	$79.92	$79.92