Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $121.52 / $3,279.00 / $11,576.00	Facility		$121.52	$3,279.00	$11,576.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.82 / $133.41 / $204.41	Professional		$97.82	$133.41	$204.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $94.79 / $112.85 / $1,652.00	Facility		$94.79	$112.85	$1,652.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $103.94 / $164.72 / $293.08	Professional		$103.94	$164.72	$293.08
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $1,618.00 / $2,845.00 / $6,066.00	Facility		$1,618.00	$2,845.00	$6,066.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $66.27 / $130.54 / $169.55	Professional		$66.27	$130.54	$169.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.41 / $124.47 / $192.46	Professional		$85.41	$124.47	$192.46
United Facility/Professional Facility Modifier Low / Median / High Price $188.00 / $1,454.00 / $4,429.00	Facility		$188.00	$1,454.00	$4,429.00
United Facility/Professional Professional Modifier Low / Median / High Price $118.72 / $163.85 / $282.14	Professional		$118.72	$163.85	$282.14
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $82.98 / $113.62 / $113.62	Professional		$82.98	$113.62	$113.62