Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $201.13 / $3,279.00 / $11,576.00	Facility		$201.13	$3,279.00	$11,576.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $153.11 / $213.70 / $319.44	Professional		$153.11	$213.70	$319.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $272.16 / $302.79 / $1,652.00	Facility		$272.16	$302.79	$1,652.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.80 / $268.73 / $451.10	Professional		$173.80	$268.73	$451.10
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 $105.09 / $199.42 / $295.52	Professional		$105.09	$199.42	$295.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $31.31 / $197.72 / $313.87	Professional		$31.31	$197.72	$313.87
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 $187.67 / $262.73 / $474.78	Professional		$187.67	$262.73	$474.78
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $139.15 / $198.90 / $198.90	Professional		$139.15	$198.90	$198.90