Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $73.13 / $3,401.00 / $11,576.00	Facility		$73.13	$3,401.00	$11,576.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.71 / $73.13 / $113.94	Professional		$56.71	$73.13	$113.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.33 / $42.00 / $323.00	Facility		$41.33	$42.00	$323.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.87 / $98.41 / $162.63	Professional		$62.87	$98.41	$162.63
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $1,438.00 / $2,394.00 / $4,243.00	Facility		$1,438.00	$2,394.00	$4,243.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $60.38 / $64.69 / $163.63	Professional		$60.38	$64.69	$163.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $51.70 / $74.23 / $101.79	Professional		$51.70	$74.23	$101.79
United Facility/Professional Facility Modifier Low / Median / High Price $345.00 / $1,911.00 / $4,970.00	Facility		$345.00	$1,911.00	$4,970.00
United Facility/Professional Professional Modifier Low / Median / High Price $68.87 / $101.52 / $174.64	Professional		$68.87	$101.52	$174.64
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $48.77 / $68.17 / $68.17	Professional		$48.77	$68.17	$68.17