Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $526.00 / $4,523.00 / $11,576.00	Facility		$526.00	$4,523.00	$11,576.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.82 / $118.04 / $195.45	Professional		$109.82	$118.04	$195.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $432.00 / $1,668.84 / $1,986.72	Facility		$432.00	$1,668.84	$1,986.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.79 / $177.02 / $272.33	Professional		$112.79	$177.02	$272.33
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 $91.17 / $97.68 / $171.82	Professional		$91.17	$97.68	$171.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $78.33 / $111.90 / $151.28	Professional		$78.33	$111.90	$151.28
United Facility/Professional Facility Modifier Low / Median / High Price $1,681.00 / $5,811.00 / $10,057.00	Facility		$1,681.00	$5,811.00	$10,057.00
United Facility/Professional Professional Modifier Low / Median / High Price $111.17 / $158.40 / $271.97	Professional		$111.17	$158.40	$271.97
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $100.09 / $100.09 / $100.09	Professional		$100.09	$100.09	$100.09