Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $156.53 / $1,486.00 / $9,639.00	Facility		$156.53	$1,486.00	$9,639.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $27.06 / $71.33 / $89.12	Facility	52	$27.06	$71.33	$89.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.74 / $142.66 / $358.60	Professional		$57.74	$142.66	$358.60
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $28.75 / $71.33 / $108.66	Professional	52	$28.75	$71.33	$108.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $102.66 / $104.10 / $123.93	Facility		$102.66	$104.10	$123.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.48 / $158.16 / $324.58	Professional		$66.48	$158.16	$324.58
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 $115.72 / $131.43 / $234.65	Professional		$115.72	$131.43	$234.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $120.38 / $181.74 / $250.68	Professional		$120.38	$181.74	$250.68
United Facility/Professional Facility Modifier Low / Median / High Price $270.00 / $1,861.00 / $5,259.00	Facility		$270.00	$1,861.00	$5,259.00
United Facility/Professional Professional Modifier Low / Median / High Price $148.33 / $220.05 / $385.67	Professional		$148.33	$220.05	$385.67
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $49.28 / $145.28 / $145.28	Professional		$49.28	$145.28	$145.28