Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $223.43 / $3,401.00 / $11,576.00	Facility		$223.43	$3,401.00	$11,576.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.09 / $193.16 / $381.38	Professional		$85.09	$193.16	$381.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $162.66 / $1,393.45 / $1,652.00	Facility		$162.66	$1,393.45	$1,652.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.45 / $224.00 / $494.41	Professional		$96.45	$224.00	$494.41
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 $105.50 / $211.00 / $362.51	Professional		$105.50	$211.00	$362.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $215.55 / $351.39 / $508.09	Professional		$215.55	$351.39	$508.09
United Facility/Professional Facility Modifier Low / Median / High Price $1,301.00 / $5,675.00 / $9,651.00	Facility		$1,301.00	$5,675.00	$9,651.00
United Facility/Professional Professional Modifier Low / Median / High Price $208.78 / $303.06 / $563.00	Professional		$208.78	$303.06	$563.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $73.79 / $246.90 / $246.90	Professional		$73.79	$246.90	$246.90