Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.39 / $3,276.00 / $11,576.00	Facility		$70.39	$3,276.00	$11,576.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.35 / $70.39 / $104.09	Professional		$47.35	$70.39	$104.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.45 / $87.73 / $152.49	Professional		$52.45	$87.73	$152.49
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $1,146.00 / $1,732.00 / $2,887.00	Facility		$1,146.00	$1,732.00	$2,887.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $58.01 / $62.15 / $151.83	Professional		$58.01	$62.15	$151.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $51.39 / $72.53 / $100.77	Professional		$51.39	$72.53	$100.77
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 $65.48 / $99.00 / $167.45	Professional		$65.48	$99.00	$167.45
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $40.85 / $66.13 / $66.13	Professional		$40.85	$66.13	$66.13