Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $166.62 / $4,245.00 / $11,576.00	Facility		$166.62	$4,245.00	$11,576.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $0.54 / $2,313.36 / $4,528.50	Facility	50	$0.54	$2,313.36	$4,528.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $119.76 / $134.59 / $203.83	Professional		$119.76	$134.59	$203.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $494.00 / $1,389.94 / $1,654.69	Facility		$494.00	$1,389.94	$1,654.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.90 / $197.91 / $295.54	Professional		$127.90	$197.91	$295.54
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $5,979.00 / $12,759.00 / $23,031.00	Facility		$5,979.00	$12,759.00	$23,031.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $103.09 / $110.46 / $194.29	Professional		$103.09	$110.46	$194.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $96.91 / $145.70 / $225.56	Professional		$96.91	$145.70	$225.56
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 $116.67 / $167.13 / $310.36	Professional		$116.67	$167.13	$310.36
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $117.19 / $117.19 / $117.19	Professional		$117.19	$117.19	$117.19