Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $191.17 / $4,755.00 / $12,514.00	Facility		$191.17	$4,755.00	$12,514.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $176.95 / $195.76 / $267.19	Professional		$176.95	$195.76	$267.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $695.00 / $1,668.84 / $1,986.72	Facility		$695.00	$1,668.84	$1,986.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $203.13 / $291.01 / $462.91	Professional		$203.13	$291.01	$462.91
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 $163.63 / $187.15 / $329.18	Professional		$163.63	$187.15	$329.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $188.17 / $271.49 / $388.59	Professional		$188.17	$271.49	$388.59
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 $194.04 / $272.60 / $497.94	Professional		$194.04	$272.60	$497.94
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $171.07 / $191.75 / $191.75	Professional		$171.07	$191.75	$191.75