Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $163.02 / $3,401.00 / $11,576.00	Facility		$163.02	$3,401.00	$11,576.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.88 / $163.02 / $256.79	Professional		$128.88	$163.02	$256.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $117.64 / $119.53 / $323.00	Facility		$117.64	$119.53	$323.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $149.94 / $229.71 / $378.24	Professional		$149.94	$229.71	$378.24
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 $145.04 / $168.47 / $296.32	Professional		$145.04	$168.47	$296.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $178.20 / $270.30 / $371.70	Professional		$178.20	$270.30	$371.70
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 $168.80 / $244.15 / $442.07	Professional		$168.80	$244.15	$442.07
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $113.36 / $174.39 / $174.39	Professional		$113.36	$174.39	$174.39