Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $111.52 / $3,261.00 / $10,802.00	Facility		$111.52	$3,261.00	$10,802.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.64 / $111.52 / $190.04	Professional		$56.64	$111.52	$190.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $58.83 / $61.93 / $104.94	Facility		$58.83	$61.93	$104.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.35 / $120.95 / $250.15	Professional		$62.35	$120.95	$250.15
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $1,436.34 / $1,532.10 / $1,656.58	Facility		$1,436.34	$1,532.10	$1,656.58
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $76.50 / $127.44 / $405.11	Professional		$76.50	$127.44	$405.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $77.08 / $135.85 / $223.80	Professional		$77.08	$135.85	$223.80
United Facility/Professional Facility Modifier Low / Median / High Price $351.00 / $1,916.00 / $4,970.00	Facility		$351.00	$1,916.00	$4,970.00
United Facility/Professional Professional Modifier Low / Median / High Price $98.28 / $158.43 / $321.16	Professional		$98.28	$158.43	$321.16
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $46.72 / $67.97 / $67.97	Professional		$46.72	$67.97	$67.97