Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $794.00 / $7,355.55 / $8,016.68	Facility		$794.00	$7,355.55	$8,016.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.50 / $15.00 / $41.50	Professional		$12.50	$15.00	$41.50
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 $11.00 / $14.15 / $108.99	Professional		$11.00	$14.15	$108.99
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $1,190.00 / $1,741.00 / $3,029.00	Facility		$1,190.00	$1,741.00	$3,029.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $239.24 / $306.32 / $417.72	Professional		$239.24	$306.32	$417.72
United Facility/Professional Facility Modifier Low / Median / High Price $366.00 / $1,950.00 / $5,107.00	Facility		$366.00	$1,950.00	$5,107.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $239.24 / $239.24 / $239.24	Professional		$239.24	$239.24	$239.24