Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.65 / $3,276.00 / $11,576.00	Facility		$117.65	$3,276.00	$11,576.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.39 / $121.92 / $189.02	Professional		$84.39	$121.92	$189.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $153.58 / $333.00 / $2,530.00	Facility		$153.58	$333.00	$2,530.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $90.54 / $149.19 / $261.61	Professional		$90.54	$149.19	$261.61
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $126.82 / $172.72 / $323.69	Facility		$126.82	$172.72	$323.69
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $76.84 / $127.27 / $183.14	Professional		$76.84	$127.27	$183.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $99.73 / $141.18 / $208.53	Professional		$99.73	$141.18	$208.53
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 $112.33 / $164.28 / $281.25	Professional		$112.33	$164.28	$281.25
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $68.17 / $113.36 / $113.36	Professional		$68.17	$113.36	$113.36