Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $394.00 / $3,714.00 / $11,576.00	Facility		$394.00	$3,714.00	$11,576.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.53 / $107.69 / $143.16	Professional		$87.53	$107.69	$143.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $323.00 / $370.55 / $441.13	Facility		$323.00	$370.55	$441.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.78 / $152.96 / $244.54	Professional		$100.78	$152.96	$244.54
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $2,104.00 / $3,121.00 / $6,861.00	Facility		$2,104.00	$3,121.00	$6,861.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $75.63 / $89.67 / $157.62	Professional		$75.63	$89.67	$157.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $114.04 / $159.31 / $227.94	Professional		$114.04	$159.31	$227.94
United Facility/Professional Facility Modifier Low / Median / High Price $539.00 / $2,671.00 / $5,507.00	Facility		$539.00	$2,671.00	$5,507.00
United Facility/Professional Professional Modifier Low / Median / High Price $87.22 / $134.86 / $249.15	Professional		$87.22	$134.86	$249.15
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $88.60 / $88.60 / $88.60	Professional		$88.60	$88.60	$88.60