Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $412.00 / $3,279.00 / $11,576.00	Facility		$412.00	$3,279.00	$11,576.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.21 / $178.39 / $258.51	Professional		$158.21	$178.39	$258.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $323.00 / $1,389.94 / $1,654.69	Facility		$323.00	$1,389.94	$1,654.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $167.55 / $267.19 / $406.40	Professional		$167.55	$267.19	$406.40
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $5,979.00 / $12,759.00 / $23,031.00	Facility		$5,979.00	$12,759.00	$23,031.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $138.58 / $148.47 / $261.16	Professional		$138.58	$148.47	$261.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $143.15 / $202.95 / $288.46	Professional		$143.15	$202.95	$288.46
United Facility/Professional Facility Modifier Low / Median / High Price $803.00 / $3,611.00 / $8,105.00	Facility		$803.00	$3,611.00	$8,105.00
United Facility/Professional Professional Modifier Low / Median / High Price $161.05 / $230.25 / $410.36	Professional		$161.05	$230.25	$410.36
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $158.81 / $158.81 / $158.81	Professional		$158.81	$158.81	$158.81