Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $229.63 / $3,087.00 / $11,481.00	Facility		$229.63	$3,087.00	$11,481.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.48 / $259.13 / $366.02	Professional		$194.48	$259.13	$366.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $323.00 / $655.25 / $780.06	Facility		$323.00	$655.25	$780.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $188.08 / $322.74 / $522.05	Professional		$188.08	$322.74	$522.05
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 $180.68 / $193.59 / $340.51	Professional		$180.68	$193.59	$340.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $232.58 / $343.83	Professional		$33.88	$232.58	$343.83
United Facility/Professional Facility Modifier Low / Median / High Price $803.00 / $3,611.00 / $8,105.00	Facility		$803.00	$3,611.00	$8,105.00
United Facility/Professional Professional Modifier Low / Median / High Price $223.96 / $334.44 / $597.22	Professional		$223.96	$334.44	$597.22
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $156.51 / $209.37 / $209.37	Professional		$156.51	$209.37	$209.37