Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $184.93 / $3,379.00 / $11,576.00	Facility		$184.93	$3,379.00	$11,576.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.37 / $109.09 / $245.85	Professional		$66.37	$109.09	$245.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $630.35 / $19,890.00 / $58,053.00	Facility		$630.35	$19,890.00	$58,053.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.30 / $142.72 / $407.79	Professional		$86.30	$142.72	$407.79
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $2,561.00 / $4,821.00 / $9,360.00	Facility		$2,561.00	$4,821.00	$9,360.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $64.17 / $68.75 / $397.70	Professional		$64.17	$68.75	$397.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $53.92 / $74.39 / $97.03	Professional		$53.92	$74.39	$97.03
United Facility/Professional Facility Modifier Low / Median / High Price $539.00 / $3,117.00 / $12,394.00	Facility		$539.00	$3,117.00	$12,394.00
United Facility/Professional Professional Modifier Low / Median / High Price $87.14 / $206.14 / $486.78	Professional		$87.14	$206.14	$486.78
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $69.95 / $69.95 / $69.95	Professional		$69.95	$69.95	$69.95