Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $227.03 / $3,379.00 / $11,576.00	Facility		$227.03	$3,379.00	$11,576.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.88 / $214.93 / $369.08	Professional		$120.88	$214.93	$369.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $510.00 / $11,502.00 / $30,357.00	Facility		$510.00	$11,502.00	$30,357.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.79 / $268.83 / $516.77	Professional		$131.79	$268.83	$516.77
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $2,979.00 / $5,611.00 / $11,030.00	Facility		$2,979.00	$5,611.00	$11,030.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $165.54 / $323.19 / $422.24	Professional		$165.54	$323.19	$422.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $206.70 / $287.27 / $431.53	Professional		$206.70	$287.27	$431.53
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 $229.14 / $331.07 / $553.07	Professional		$229.14	$331.07	$553.07
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $109.32 / $248.74 / $248.74	Professional		$109.32	$248.74	$248.74