Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $602.00 / $6,024.00 / $13,170.00	Facility		$602.00	$6,024.00	$13,170.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $116.04 / $129.61 / $190.77	Professional		$116.04	$129.61	$190.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $403.71 / $11,754.00 / $30,357.00	Facility		$403.71	$11,754.00	$30,357.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.13 / $183.00 / $276.85	Professional		$120.13	$183.00	$276.85
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $1,289.00 / $2,646.00 / $6,396.00	Facility		$1,289.00	$2,646.00	$6,396.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $63.73 / $133.30 / $163.72	Professional		$63.73	$133.30	$163.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $114.04 / $157.39 / $232.41	Professional		$114.04	$157.39	$232.41
United Facility/Professional Facility Modifier Low / Median / High Price $188.00 / $1,454.00 / $4,429.00	Facility		$188.00	$1,454.00	$4,429.00
United Facility/Professional Professional Modifier Low / Median / High Price $108.30 / $151.25 / $263.47	Professional		$108.30	$151.25	$263.47
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $98.98 / $98.98 / $98.98	Professional		$98.98	$98.98	$98.98