Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $540.00 / $3,836.00 / $11,576.00	Facility		$540.00	$3,836.00	$11,576.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.38 / $120.81 / $170.14	Professional		$102.38	$120.81	$170.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $138.16 / $655.25 / $2,530.00	Facility		$138.16	$655.25	$2,530.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.44 / $161.63 / $266.81	Professional		$108.44	$161.63	$266.81
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $2,284.00 / $4,562.00 / $9,053.00	Facility		$2,284.00	$4,562.00	$9,053.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $17.07 / $35.78 / $116.19	Professional		$17.07	$35.78	$116.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $17.04 / $21.81 / $39.65	Professional		$17.04	$21.81	$39.65
United Facility/Professional Facility Modifier Low / Median / High Price $573.00 / $3,514.00 / $7,044.00	Facility		$573.00	$3,514.00	$7,044.00
United Facility/Professional Professional Modifier Low / Median / High Price $95.65 / $130.58 / $236.73	Professional		$95.65	$130.58	$236.73
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $17.04 / $17.04 / $17.04	Professional		$17.04	$17.04	$17.04