Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $377.00 / $3,401.00 / $11,576.00	Facility		$377.00	$3,401.00	$11,576.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $166.50 / $210.76 / $301.58	Professional		$166.50	$210.76	$301.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $240.68 / $487.89 / $1,652.00	Facility		$240.68	$487.89	$1,652.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.84 / $269.92 / $425.00	Professional		$177.84	$269.92	$425.00
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $1,894.00 / $3,083.00 / $6,645.00	Facility		$1,894.00	$3,083.00	$6,645.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $88.50 / $160.13 / $257.31	Professional		$88.50	$160.13	$257.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $161.75 / $230.27 / $345.07	Professional		$161.75	$230.27	$345.07
United Facility/Professional Facility Modifier Low / Median / High Price $390.00 / $2,491.00 / $5,015.00	Facility		$390.00	$2,491.00	$5,015.00
United Facility/Professional Professional Modifier Low / Median / High Price $155.53 / $219.22 / $394.71	Professional		$155.53	$219.22	$394.71
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $165.19 / $165.19 / $165.19	Professional		$165.19	$165.19	$165.19