Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $178.11 / $3,751.00 / $11,576.00	Facility		$178.11	$3,751.00	$11,576.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.99 / $159.03 / $277.75	Professional		$96.99	$159.03	$277.75
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 $112.38 / $197.48 / $377.05	Professional		$112.38	$197.48	$377.05
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 $156.74 / $167.94 / $338.68	Professional		$156.74	$167.94	$338.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $167.39 / $265.81 / $340.85	Professional		$167.39	$265.81	$340.85
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 $164.39 / $256.56 / $463.17	Professional		$164.39	$256.56	$463.17
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $83.75 / $166.46 / $166.46	Professional		$83.75	$166.46	$166.46