Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $468.95 / $5,291.00 / $11,576.00	Facility		$468.95	$5,291.00	$11,576.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $77.39 / $121.05 / $249.26	Facility	52	$77.39	$121.05	$249.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $164.68 / $468.95 / $756.56	Professional		$164.68	$468.95	$756.56
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $81.41 / $234.48 / $362.48	Professional	52	$81.41	$234.48	$362.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $419.79 / $19,890.00 / $58,053.00	Facility		$419.79	$19,890.00	$58,053.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.93 / $407.77 / $944.53	Professional		$173.93	$407.77	$944.53
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $4,169.00 / $8,416.00 / $15,897.00	Facility		$4,169.00	$8,416.00	$15,897.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $372.36 / $398.95 / $904.99	Professional		$372.36	$398.95	$904.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $392.87 / $600.48 / $786.99	Professional		$392.87	$600.48	$786.99
United Facility/Professional Facility Modifier Low / Median / High Price $2,637.00 / $8,917.00 / $12,989.00	Facility		$2,637.00	$8,917.00	$12,989.00
United Facility/Professional Professional Modifier Low / Median / High Price $497.85 / $738.89 / $1,231.63	Professional		$497.85	$738.89	$1,231.63
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $135.83 / $290.18 / $290.18	Professional		$135.83	$290.18	$290.18