Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.17 / $3,401.00 / $11,576.00	Facility		$55.17	$3,401.00	$11,576.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.93 / $105.63 / $158.44	Professional		$51.93	$105.63	$158.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $104.29 / $105.97 / $323.00	Facility		$104.29	$105.97	$323.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.30 / $127.19 / $241.49	Professional		$61.30	$127.19	$241.49
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 $86.25 / $98.58 / $175.97	Professional		$86.25	$98.58	$175.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $96.59 / $148.27 / $201.47	Professional		$96.59	$148.27	$201.47
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 $108.27 / $158.09 / $274.62	Professional		$108.27	$158.09	$274.62
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $50.04 / $108.77 / $108.77	Professional		$50.04	$108.77	$108.77