Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $578.00 / $4,983.00 / $11,576.00	Facility		$578.00	$4,983.00	$11,576.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $153.33 / $191.78 / $280.20	Professional		$153.33	$191.78	$280.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $221.71 / $1,389.94 / $2,530.00	Facility		$221.71	$1,389.94	$2,530.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $167.64 / $248.12 / $384.35	Professional		$167.64	$248.12	$384.35
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 $82.23 / $173.62 / $226.47	Professional		$82.23	$173.62	$226.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $129.23 / $180.45 / $273.06	Professional		$129.23	$180.45	$273.06
United Facility/Professional Facility Modifier Low / Median / High Price $1,301.00 / $5,675.00 / $9,772.00	Facility		$1,301.00	$5,675.00	$9,772.00
United Facility/Professional Professional Modifier Low / Median / High Price $145.81 / $194.88 / $339.88	Professional		$145.81	$194.88	$339.88
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $152.16 / $152.16 / $152.16	Professional		$152.16	$152.16	$152.16