Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $152.03 / $3,401.00 / $11,576.00	Facility		$152.03	$3,401.00	$11,576.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $608.12 / $608.12 / $2,088.26	Facility	50	$608.12	$608.12	$2,088.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.47 / $151.40 / $217.31	Professional		$97.47	$151.40	$217.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $122.01 / $123.98 / $323.00	Facility		$122.01	$123.98	$323.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $115.34 / $191.68 / $331.02	Professional		$115.34	$191.68	$331.02
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 $125.79 / $132.59 / $237.06	Professional		$125.79	$132.59	$237.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $113.03 / $165.37 / $241.19	Professional		$113.03	$165.37	$241.19
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 $148.59 / $215.12 / $377.23	Professional		$148.59	$215.12	$377.23
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $93.70 / $145.79 / $145.79	Professional		$93.70	$145.79	$145.79