Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $170.14 / $1,749.00 / $10,086.00	Facility		$170.14	$1,749.00	$10,086.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.51 / $154.27 / $320.33	Professional		$106.51	$154.27	$320.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $119.55 / $121.47 / $323.00	Facility		$119.55	$121.47	$323.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $121.21 / $209.08 / $367.03	Professional		$121.21	$209.08	$367.03
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $1,752.00 / $2,882.00 / $6,066.00	Facility		$1,752.00	$2,882.00	$6,066.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $130.90 / $140.25 / $246.69	Professional		$130.90	$140.25	$246.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $147.60 / $218.31 / $293.05	Professional		$147.60	$218.31	$293.05
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 $163.58 / $235.15 / $396.54	Professional		$163.58	$235.15	$396.54
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $92.17 / $150.38 / $150.38	Professional		$92.17	$150.38	$150.38