Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $644.00 / $4,755.00 / $11,550.00	Facility		$644.00	$4,755.00	$11,550.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $307.22 / $551.17 / $630.65	Professional		$307.22	$551.17	$630.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $323.00 / $323.00 / $715.00	Facility		$323.00	$323.00	$715.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $494.09 / $591.98 / $613.08	Professional		$494.09	$591.98	$613.08
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $1,025.06 / $1,268.51 / $2,216.67	Facility		$1,025.06	$1,268.51	$2,216.67
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $755.98 / $795.77 / $853.92	Professional		$755.98	$795.77	$853.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $50.00 / $1,502.72	Professional		$50.00	$50.00	$1,502.72
United Facility/Professional Facility Modifier Low / Median / High Price $3,320.00 / $10,309.00 / $15,829.00	Facility		$3,320.00	$10,309.00	$15,829.00
United Facility/Professional Professional Modifier Low / Median / High Price $348.56 / $686.77 / $1,241.40	Professional		$348.56	$686.77	$1,241.40
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $839.51 / $988.82 / $988.82	Professional		$839.51	$988.82	$988.82