Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $136.65 / $3,276.00 / $11,576.00	Facility		$136.65	$3,276.00	$11,576.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.45 / $137.41 / $193.97	Professional		$123.45	$137.41	$193.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $323.00 / $655.25 / $780.06	Facility		$323.00	$655.25	$780.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $137.35 / $208.88 / $317.72	Professional		$137.35	$208.88	$317.72
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $2,561.00 / $4,821.00 / $9,360.00	Facility		$2,561.00	$4,821.00	$9,360.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $134.93 / $237.33	Professional		$112.20	$134.93	$237.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $123.56 / $182.14 / $271.34	Professional		$123.56	$182.14	$271.34
United Facility/Professional Facility Modifier Low / Median / High Price $803.00 / $3,611.00 / $8,105.00	Facility		$803.00	$3,611.00	$8,105.00
United Facility/Professional Professional Modifier Low / Median / High Price $131.09 / $195.92 / $360.72	Professional		$131.09	$195.92	$360.72
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $123.58 / $138.93 / $138.93	Professional		$123.58	$138.93	$138.93