Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $545.00 / $4,542.00 / $11,576.00	Facility		$545.00	$4,542.00	$11,576.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.28 / $157.71 / $217.74	Professional		$147.28	$157.71	$217.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $432.00 / $789.58 / $939.97	Facility		$432.00	$789.58	$939.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $143.76 / $230.33 / $352.43	Professional		$143.76	$230.33	$352.43
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $2,561.00 / $4,821.00 / $9,360.00	Facility		$2,561.00	$4,821.00	$9,360.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $114.08 / $122.23 / $214.98	Professional		$114.08	$122.23	$214.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $104.20 / $149.87 / $200.14	Professional		$104.20	$149.87	$200.14
United Facility/Professional Facility Modifier Low / Median / High Price $803.00 / $3,988.00 / $23,125.00	Facility		$803.00	$3,988.00	$23,125.00
United Facility/Professional Professional Modifier Low / Median / High Price $143.31 / $209.86 / $351.12	Professional		$143.31	$209.86	$351.12
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $127.15 / $127.15 / $127.15	Professional		$127.15	$127.15	$127.15