Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $630.00 / $6,038.00 / $13,982.00	Facility		$630.00	$6,038.00	$13,982.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $446.85 / $523.09 / $718.55	Professional		$446.85	$523.09	$718.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,574.05 / $11,754.00 / $30,357.00	Facility		$1,574.05	$11,754.00	$30,357.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $445.91 / $679.15 / $1,095.24	Professional		$445.91	$679.15	$1,095.24
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 $230.06 / $478.45 / $607.02	Professional		$230.06	$478.45	$607.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $70.39 / $412.67 / $717.76	Professional		$70.39	$412.67	$717.76
United Facility/Professional Facility Modifier Low / Median / High Price $4,462.00 / $12,949.00 / $20,609.00	Facility		$4,462.00	$12,949.00	$20,609.00
United Facility/Professional Professional Modifier Low / Median / High Price $393.00 / $551.02 / $1,000.22	Professional		$393.00	$551.02	$1,000.22
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $421.29 / $421.29 / $477.84	Professional		$421.29	$421.29	$477.84