Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $190.21 / $2,815.00 / $10,632.00	Facility		$190.21	$2,815.00	$10,632.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $142.18 / $205.78 / $319.19	Professional		$142.18	$205.78	$319.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $160.25 / $162.83 / $323.00	Facility		$160.25	$162.83	$323.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.47 / $258.89 / $441.77	Professional		$154.47	$258.89	$441.77
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $2,578.00 / $4,823.00 / $9,635.00	Facility		$2,578.00	$4,823.00	$9,635.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $106.20 / $222.26 / $276.27	Professional		$106.20	$222.26	$276.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.14 / $202.63 / $323.10	Professional		$32.14	$202.63	$323.10
United Facility/Professional Facility Modifier Low / Median / High Price $591.00 / $2,671.00 / $6,077.00	Facility		$591.00	$2,671.00	$6,077.00
United Facility/Professional Professional Modifier Low / Median / High Price $182.40 / $254.70 / $471.11	Professional		$182.40	$254.70	$471.11
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $125.62 / $193.79 / $193.79	Professional		$125.62	$193.79	$193.79