Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $160.58 / $3,379.00 / $11,576.00	Facility		$160.58	$3,379.00	$11,576.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $110.92 / $139.22 / $185.89	Professional		$110.92	$139.22	$185.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $142.06 / $236.68 / $392.96	Facility		$142.06	$236.68	$392.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.83 / $167.84 / $273.08	Professional		$112.83	$167.84	$273.08
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $1,701.00 / $2,867.00 / $6,066.00	Facility		$1,701.00	$2,867.00	$6,066.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $56.10 / $120.20 / $158.57	Professional		$56.10	$120.20	$158.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $113.67 / $157.31 / $223.47	Professional		$113.67	$157.31	$223.47
United Facility/Professional Facility Modifier Low / Median / High Price $270.00 / $1,718.00 / $4,429.00	Facility		$270.00	$1,718.00	$4,429.00
United Facility/Professional Professional Modifier Low / Median / High Price $99.36 / $136.19 / $230.13	Professional		$99.36	$136.19	$230.13
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $94.73 / $94.73 / $127.75	Professional		$94.73	$94.73	$127.75