Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $144.85 / $3,276.00 / $11,576.00	Facility		$144.85	$3,276.00	$11,576.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $773.11 / $1,826.62 / $2,276.71	Facility	50	$773.11	$1,826.62	$2,276.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.62 / $133.55 / $204.12	Professional		$85.62	$133.55	$204.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $122.01 / $123.73 / $147.30	Facility		$122.01	$123.73	$147.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $105.67 / $176.03 / $318.77	Professional		$105.67	$176.03	$318.77
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $1,438.00 / $2,394.00 / $4,243.00	Facility		$1,438.00	$2,394.00	$4,243.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $117.41 / $128.27 / $229.29	Professional		$117.41	$128.27	$229.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $110.28 / $165.00 / $240.73	Professional		$110.28	$165.00	$240.73
United Facility/Professional Facility Modifier Low / Median / High Price $345.00 / $1,911.00 / $4,970.00	Facility		$345.00	$1,911.00	$4,970.00
United Facility/Professional Professional Modifier Low / Median / High Price $137.22 / $201.27 / $365.46	Professional		$137.22	$201.27	$365.46
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $85.79 / $141.71 / $141.71	Professional		$85.79	$141.71	$141.71