Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $127.87 / $5,839.00 / $11,576.00	Facility		$127.87	$5,839.00	$11,576.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.64 / $127.87 / $215.64	Professional		$114.64	$127.87	$215.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $323.00 / $323.00 / $323.00	Facility		$323.00	$323.00	$323.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.61 / $192.17 / $302.99	Professional		$117.61	$192.17	$302.99
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $9,624.00 / $21,162.00 / $32,051.00	Facility		$9,624.00	$21,162.00	$32,051.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $93.55 / $100.23 / $295.75	Professional		$93.55	$100.23	$295.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $140.90 / $192.38 / $246.07	Professional		$140.90	$192.38	$246.07
United Facility/Professional Facility Modifier Low / Median / High Price $677.00 / $5,417.00 / $13,093.00	Facility		$677.00	$5,417.00	$13,093.00
United Facility/Professional Professional Modifier Low / Median / High Price $124.04 / $182.31 / $315.89	Professional		$124.04	$182.31	$315.89
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $99.07 / $99.07 / $99.07	Professional		$99.07	$99.07	$99.07