Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $549.75 / $4,200.00 / $11,576.00	Facility		$549.75	$4,200.00	$11,576.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $513.38 / $604.21 / $808.78	Professional		$513.38	$604.21	$808.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $494.00 / $1,574.05 / $1,873.87	Facility		$494.00	$1,574.05	$1,873.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $515.08 / $797.41 / $1,290.07	Professional		$515.08	$797.41	$1,290.07
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $5,979.00 / $12,804.00 / $23,031.00	Facility		$5,979.00	$12,804.00	$23,031.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $288.22 / $576.44 / $725.45	Professional		$288.22	$576.44	$725.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $71.37 / $464.34 / $805.52	Professional		$71.37	$464.34	$805.52
United Facility/Professional Facility Modifier Low / Median / High Price $1,954.00 / $5,889.00 / $10,192.00	Facility		$1,954.00	$5,889.00	$10,192.00
United Facility/Professional Professional Modifier Low / Median / High Price $457.78 / $653.97 / $1,196.77	Professional		$457.78	$653.97	$1,196.77
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $481.29 / $481.29 / $598.75	Professional		$481.29	$481.29	$598.75