Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $111.63 / $3,258.00 / $11,550.00	Facility		$111.63	$3,258.00	$11,550.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.06 / $111.63 / $173.78	Professional		$73.06	$111.63	$173.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $310.55 / $315.54 / $374.89	Facility		$310.55	$315.54	$374.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.02 / $131.72 / $241.84	Professional		$77.02	$131.72	$241.84
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $2,104.00 / $3,121.00 / $6,861.00	Facility		$2,104.00	$3,121.00	$6,861.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $90.16 / $96.60 / $200.38	Professional		$90.16	$96.60	$200.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $98.04 / $145.20 / $196.16	Professional		$98.04	$145.20	$196.16
United Facility/Professional Facility Modifier Low / Median / High Price $539.00 / $2,669.00 / $5,507.00	Facility		$539.00	$2,669.00	$5,507.00
United Facility/Professional Professional Modifier Low / Median / High Price $108.85 / $168.05 / $269.99	Professional		$108.85	$168.05	$269.99
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $61.28 / $103.66 / $103.66	Professional		$61.28	$103.66	$103.66