Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $159.97 / $2,747.00 / $10,086.00	Facility		$159.97	$2,747.00	$10,086.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $157.97 / $225.14 / $318.01	Professional		$157.97	$225.14	$318.01
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 $171.81 / $275.16 / $475.16	Professional		$171.81	$275.16	$475.16
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 $111.19 / $204.36 / $307.79	Professional		$111.19	$204.36	$307.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $206.70 / $285.29 / $440.85	Professional		$206.70	$285.29	$440.85
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 $192.05 / $267.35 / $501.53	Professional		$192.05	$267.35	$501.53
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $139.15 / $221.11 / $221.11	Professional		$139.15	$221.11	$221.11