Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $391.00 / $3,401.00 / $11,576.00	Facility		$391.00	$3,401.00	$11,576.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.34 / $76.92 / $102.19	Professional		$72.34	$76.92	$102.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $155.78 / $158.28 / $323.00	Facility		$155.78	$158.28	$323.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.58 / $123.71 / $202.97	Professional		$72.58	$123.71	$202.97
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 $55.14 / $59.07 / $122.59	Professional		$55.14	$59.07	$122.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $77.57 / $110.83 / $146.86	Professional		$77.57	$110.83	$146.86
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 $74.84 / $111.02 / $185.42	Professional		$74.84	$111.02	$185.42
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $61.53 / $61.53 / $61.53	Professional		$61.53	$61.53	$61.53