Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $540.00 / $4,527.60 / $11,550.00	Facility		$540.00	$4,527.60	$11,550.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $156.02 / $170.37 / $319.17	Professional		$156.02	$170.37	$319.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $323.00 / $1,668.84 / $1,986.72	Facility		$323.00	$1,668.84	$1,986.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.83 / $250.81 / $393.80	Professional		$169.83	$250.81	$393.80
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $4,169.00 / $8,416.00 / $15,897.00	Facility		$4,169.00	$8,416.00	$15,897.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $138.18 / $150.41 / $264.57	Professional		$138.18	$150.41	$264.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $117.34 / $181.86 / $277.75	Professional		$117.34	$181.86	$277.75
United Facility/Professional Facility Modifier Low / Median / High Price $1,869.00 / $5,845.00 / $9,684.00	Facility		$1,869.00	$5,845.00	$9,684.00
United Facility/Professional Professional Modifier Low / Median / High Price $154.76 / $224.68 / $409.79	Professional		$154.76	$224.68	$409.79
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $156.77 / $156.77 / $156.77	Professional		$156.77	$156.77	$156.77