Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $539.00 / $3,714.00 / $11,576.00	Facility		$539.00	$3,714.00	$11,576.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.00 / $51.00 / $75.25	Professional		$51.00	$51.00	$75.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $42.66 / $71.18	Professional		$42.66	$42.66	$71.18
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $1,752.00 / $2,882.00 / $6,066.00	Facility		$1,752.00	$2,882.00	$6,066.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $27.04 / $28.98 / $80.28	Professional		$27.04	$28.98	$80.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.39 / $40.00 / $58.66	Professional		$34.39	$40.00	$58.66
United Facility/Professional Facility Modifier Low / Median / High Price $345.00 / $1,916.00 / $4,970.00	Facility		$345.00	$1,916.00	$4,970.00
United Facility/Professional Professional Modifier Low / Median / High Price $121.50 / $121.50 / $121.50	Professional		$121.50	$121.50	$121.50
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $31.27 / $31.27 / $31.27	Professional		$31.27	$31.27	$31.27