Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $178.45 / $2,815.00 / $10,632.00	Facility		$178.45	$2,815.00	$10,632.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.10 / $202.81 / $291.97	Professional		$141.10	$202.81	$291.97
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 $153.50 / $253.20 / $432.96	Professional		$153.50	$253.20	$432.96
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 $99.84 / $184.60 / $278.04	Professional		$99.84	$184.60	$278.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $180.88 / $249.00 / $386.60	Professional		$180.88	$249.00	$386.60
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 $175.07 / $242.25 / $444.98	Professional		$175.07	$242.25	$444.98
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $124.09 / $200.17 / $200.17	Professional		$124.09	$200.17	$200.17