Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $196.50 / $3,403.00 / $11,550.00	Facility		$196.50	$3,403.00	$11,550.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $166.62 / $199.15 / $339.72	Professional		$166.62	$199.15	$339.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $494.00 / $977.92 / $1,164.19	Facility		$494.00	$977.92	$1,164.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $196.91 / $291.98 / $473.75	Professional		$196.91	$291.98	$473.75
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $3,144.00 / $5,731.00 / $11,037.00	Facility		$3,144.00	$5,731.00	$11,037.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $162.41 / $196.44 / $352.05	Professional		$162.41	$196.44	$352.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $180.31 / $270.46 / $411.50	Professional		$180.31	$270.46	$411.50
United Facility/Professional Facility Modifier Low / Median / High Price $803.00 / $3,611.00 / $8,105.00	Facility		$803.00	$3,611.00	$8,105.00
United Facility/Professional Professional Modifier Low / Median / High Price $193.75 / $276.05 / $505.60	Professional		$193.75	$276.05	$505.60
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $163.92 / $211.92 / $211.92	Professional		$163.92	$211.92	$211.92