Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $394.00 / $4,270.00 / $11,576.00	Facility		$394.00	$4,270.00	$11,576.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.87 / $102.61 / $151.63	Professional		$88.87	$102.61	$151.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $117.31 / $1,393.45 / $1,652.00	Facility		$117.31	$1,393.45	$1,652.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.04 / $139.21 / $228.05	Professional		$87.04	$139.21	$228.05
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $3,420.00 / $6,499.00 / $11,885.00	Facility		$3,420.00	$6,499.00	$11,885.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $48.87 / $90.75 / $127.79	Professional		$48.87	$90.75	$127.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $77.57 / $107.70 / $159.92	Professional		$77.57	$107.70	$159.92
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 $79.29 / $110.19 / $206.13	Professional		$79.29	$110.19	$206.13
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $80.17 / $80.17 / $80.17	Professional		$80.17	$80.17	$80.17