Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $185.99 / $4,790.00 / $11,624.00	Facility		$185.99	$4,790.00	$11,624.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $174.34 / $185.99 / $270.79	Professional		$174.34	$185.99	$270.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $160.30 / $162.55 / $193.51	Facility		$160.30	$162.55	$193.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $184.77 / $281.97 / $430.62	Professional		$184.77	$281.97	$430.62
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $1,438.00 / $2,394.00 / $4,243.00	Facility		$1,438.00	$2,394.00	$4,243.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $145.43 / $155.81 / $274.06	Professional		$145.43	$155.81	$274.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $168.32 / $236.09 / $325.03	Professional		$168.32	$236.09	$325.03
United Facility/Professional Facility Modifier Low / Median / High Price $345.00 / $1,911.00 / $4,970.00	Facility		$345.00	$1,911.00	$4,970.00
United Facility/Professional Professional Modifier Low / Median / High Price $174.12 / $253.92 / $432.74	Professional		$174.12	$253.92	$432.74
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $153.96 / $153.96 / $153.96	Professional		$153.96	$153.96	$153.96