Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $150.44 / $3,276.00 / $11,576.00	Facility		$150.44	$3,276.00	$11,576.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.34 / $150.44 / $206.17	Professional		$125.34	$150.44	$206.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $80.12 / $81.41 / $323.00	Facility		$80.12	$81.41	$323.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $132.91 / $207.45 / $329.53	Professional		$132.91	$207.45	$329.53
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 $122.02 / $130.72 / $229.95	Professional		$122.02	$130.72	$229.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $157.35 / $220.78 / $293.59	Professional		$157.35	$220.78	$293.59
United Facility/Professional Facility Modifier Low / Median / High Price $539.00 / $2,671.00 / $5,507.00	Facility		$539.00	$2,671.00	$5,507.00
United Facility/Professional Professional Modifier Low / Median / High Price $143.84 / $205.24 / $352.80	Professional		$143.84	$205.24	$352.80
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $116.78 / $149.08 / $149.08	Professional		$116.78	$149.08	$149.08