Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $209.71 / $5,839.00 / $11,576.00	Facility		$209.71	$5,839.00	$11,576.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $178.33 / $191.53 / $258.61	Professional		$178.33	$191.53	$258.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $160.30 / $162.88 / $323.00	Facility		$160.30	$162.88	$323.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $206.72 / $298.23 / $462.75	Professional		$206.72	$298.23	$462.75
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 $155.03 / $185.04 / $325.47	Professional		$155.03	$185.04	$325.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $192.94 / $275.91 / $376.80	Professional		$192.94	$275.91	$376.80
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 $197.06 / $284.02 / $505.74	Professional		$197.06	$284.02	$505.74
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $176.36 / $176.36 / $176.36	Professional		$176.36	$176.36	$176.36