Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $621.00 / $5,486.00 / $11,576.00	Facility		$621.00	$5,486.00	$11,576.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.02 / $196.77 / $248.46	Professional		$173.02	$196.77	$248.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $12,484.00 / $54,020.00	Facility		$400.00	$12,484.00	$54,020.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $170.47 / $294.83 / $429.84	Professional		$170.47	$294.83	$429.84
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $5,855.00 / $12,742.00 / $23,031.00	Facility		$5,855.00	$12,742.00	$23,031.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $134.56 / $144.16 / $260.79	Professional		$134.56	$144.16	$260.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $130.08 / $184.04 / $244.48	Professional		$130.08	$184.04	$244.48
United Facility/Professional Facility Modifier Low / Median / High Price $2,637.00 / $8,136.00 / $12,748.00	Facility		$2,637.00	$8,136.00	$12,748.00
United Facility/Professional Professional Modifier Low / Median / High Price $179.67 / $273.10 / $446.33	Professional		$179.67	$273.10	$446.33
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $161.78 / $161.78 / $161.78	Professional		$161.78	$161.78	$161.78