Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $169.90 / $3,751.00 / $11,550.00	Facility		$169.90	$3,751.00	$11,550.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.76 / $165.38 / $239.98	Professional		$108.76	$165.38	$239.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $102.66 / $104.31 / $432.00	Facility		$102.66	$104.31	$432.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $129.10 / $208.79 / $366.72	Professional		$129.10	$208.79	$366.72
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 $139.96 / $149.96 / $263.77	Professional		$139.96	$149.96	$263.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $149.05 / $218.31 / $298.38	Professional		$149.05	$218.31	$298.38
United Facility/Professional Facility Modifier Low / Median / High Price $235.14 / $1,800.00 / $4,970.00	Facility		$235.14	$1,800.00	$4,970.00
United Facility/Professional Professional Modifier Low / Median / High Price $171.23 / $239.78 / $441.91	Professional		$171.23	$239.78	$441.91
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $102.90 / $160.09 / $160.09	Professional		$102.90	$160.09	$160.09