Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $602.00 / $5,839.00 / $11,624.00	Facility		$602.00	$5,839.00	$11,624.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $205.73 / $342.88 / $365.82	Professional		$205.73	$342.88	$365.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $400.00 / $10,000.00	Facility		$400.00	$400.00	$10,000.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $272.58 / $272.58 / $272.58	Professional		$272.58	$272.58	$272.58
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $223.50 / $235.72 / $335.77	Professional		$223.50	$235.72	$335.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $40.00 / $50.00	Professional		$40.00	$40.00	$50.00
United Facility/Professional Facility Modifier Low / Median / High Price $677.00 / $5,350.00 / $13,093.00	Facility		$677.00	$5,350.00	$13,093.00
United Facility/Professional Professional Modifier Low / Median / High Price $291.02 / $421.22 / $690.57	Professional		$291.02	$421.22	$690.57
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $357.98 / $357.98 / $357.98	Professional		$357.98	$357.98	$357.98