Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $644.00 / $4,790.00 / $11,624.00	Facility		$644.00	$4,790.00	$11,624.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.63 / $77.06 / $99.04	Professional		$57.63	$77.06	$99.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11,233.00 / $22,474.00 / $47,578.00	Facility		$11,233.00	$22,474.00	$47,578.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.92 / $106.87 / $189.33	Professional		$69.92	$106.87	$189.33
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $4,602.00 / $22,594.00 / $44,568.00	Facility		$4,602.00	$22,594.00	$44,568.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $65.77 / $90.03 / $103.23	Professional		$65.77	$90.03	$103.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.47 / $42.55 / $83.10	Professional		$19.47	$42.55	$83.10
United Facility/Professional Facility Modifier Low / Median / High Price $803.00 / $6,167.00 / $27,000.00	Facility		$803.00	$6,167.00	$27,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $68.28 / $99.82 / $173.17	Professional		$68.28	$99.82	$173.17
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $55.36 / $55.36 / $55.36	Professional		$55.36	$55.36	$55.36