Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.47 / $3,276.00 / $11,576.00	Facility		$104.47	$3,276.00	$11,576.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.04 / $104.47 / $147.57	Professional		$39.04	$104.47	$147.57
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 $42.86 / $89.76 / $193.13	Professional		$42.86	$89.76	$193.13
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 $75.23 / $80.62 / $198.98	Professional		$75.23	$80.62	$198.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $86.49 / $141.63 / $185.05	Professional		$86.49	$141.63	$185.05
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 $105.23 / $150.29 / $265.57	Professional		$105.23	$150.29	$265.57
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $34.72 / $62.60 / $62.60	Professional		$34.72	$62.60	$62.60