Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $180.56 / $3,279.00 / $11,576.00	Facility		$180.56	$3,279.00	$11,576.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.88 / $186.83 / $284.20	Professional		$128.88	$186.83	$284.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $149.60 / $178.10 / $1,652.00	Facility		$149.60	$178.10	$1,652.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.91 / $233.36 / $407.15	Professional		$144.91	$233.36	$407.15
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $4,672.00 / $12,190.00 / $22,833.00	Facility		$4,672.00	$12,190.00	$22,833.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $98.46 / $183.41 / $253.64	Professional		$98.46	$183.41	$253.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $144.56 / $212.31 / $325.08	Professional		$144.56	$212.31	$325.08
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 $178.10 / $242.90 / $432.49	Professional		$178.10	$242.90	$432.49
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $108.26 / $171.32 / $171.32	Professional		$108.26	$171.32	$171.32