Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.68 / $3,258.00 / $10,802.00	Facility		$75.68	$3,258.00	$10,802.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $28.37 / $36.43 / $37.84	Facility	52	$28.37	$36.43	$37.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.74 / $72.84 / $99.50	Professional		$57.74	$72.84	$99.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $323.00 / $476.39 / $567.14	Facility		$323.00	$476.39	$567.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.00 / $97.41 / $182.34	Professional		$53.00	$97.41	$182.34
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $2,104.00 / $3,151.00 / $7,541.00	Facility		$2,104.00	$3,151.00	$7,541.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $39.21 / $64.53 / $159.61	Professional		$39.21	$64.53	$159.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.90 / $72.48 / $111.94	Professional		$54.90	$72.48	$111.94
United Facility/Professional Facility Modifier Low / Median / High Price $591.00 / $2,671.00 / $6,077.00	Facility		$591.00	$2,671.00	$6,077.00
United Facility/Professional Professional Modifier Low / Median / High Price $52.43 / $82.77 / $168.12	Professional		$52.43	$82.77	$168.12
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $49.79 / $49.79 / $64.48	Professional		$49.79	$49.79	$64.48