Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $176.02 / $5,839.00 / $11,576.00	Facility		$176.02	$5,839.00	$11,576.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.49 / $176.02 / $249.55	Professional		$162.49	$176.02	$249.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $323.00 / $400.00 / $10,000.00	Facility		$323.00	$400.00	$10,000.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $163.09 / $243.50 / $395.17	Professional		$163.09	$243.50	$395.17
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $9,460.00 / $21,065.00 / $32,051.00	Facility		$9,460.00	$21,065.00	$32,051.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $129.37 / $138.61 / $279.52	Professional		$129.37	$138.61	$279.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $170.43 / $229.86 / $291.50	Professional		$170.43	$229.86	$291.50
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 $172.80 / $243.01 / $418.38	Professional		$172.80	$243.01	$418.38
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $137.88 / $137.88 / $137.88	Professional		$137.88	$137.88	$137.88