Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $134.41 / $3,276.00 / $11,576.00	Facility		$134.41	$3,276.00	$11,576.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.63 / $163.53 / $255.87	Professional		$107.63	$163.53	$255.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $213.62 / $323.00 / $1,652.00	Facility		$213.62	$323.00	$1,652.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $124.95 / $197.67 / $344.67	Professional		$124.95	$197.67	$344.67
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 $73.14 / $156.72 / $233.87	Professional		$73.14	$156.72	$233.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $110.28 / $172.98 / $279.45	Professional		$110.28	$172.98	$279.45
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 $141.07 / $197.49 / $365.37	Professional		$141.07	$197.49	$365.37
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $97.53 / $157.28 / $157.28	Professional		$97.53	$157.28	$157.28