Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.95 / $73.84 / $391.00	Facility		$67.95	$73.84	$391.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.54 / $74.63 / $99.64	Professional		$70.54	$74.63	$99.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.56 / $109.48 / $164.25	Professional		$65.56	$109.48	$164.25
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $1,758.00 / $2,887.00 / $6,066.00	Facility		$1,758.00	$2,887.00	$6,066.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $54.06 / $57.92 / $101.88	Professional		$54.06	$57.92	$101.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.71 / $106.53 / $132.08	Professional		$75.71	$106.53	$132.08
United Facility/Professional Facility Modifier Low / Median / High Price $345.00 / $1,911.00 / $4,970.00	Facility		$345.00	$1,911.00	$4,970.00
United Facility/Professional Professional Modifier Low / Median / High Price $67.66 / $98.02 / $169.00	Professional		$67.66	$98.02	$169.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $64.87 / $64.87 / $64.87	Professional		$64.87	$64.87	$64.87