Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $106.91 / $4,245.00 / $11,576.00	Facility		$106.91	$4,245.00	$11,576.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.45 / $106.37 / $156.58	Professional		$94.45	$106.37	$156.58
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 $117.49 / $165.84 / $269.42	Professional		$117.49	$165.84	$269.42
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 $91.47 / $113.95 / $200.43	Professional		$91.47	$113.95	$200.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $96.91 / $144.24 / $223.67	Professional		$96.91	$144.24	$223.67
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 $108.72 / $159.34 / $288.98	Professional		$108.72	$159.34	$288.98
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $98.81 / $115.27 / $115.27	Professional		$98.81	$115.27	$115.27