Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $714.00 / $6,024.00 / $11,576.00	Facility		$714.00	$6,024.00	$11,576.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $623.04 / $675.61 / $1,001.14	Professional		$623.04	$675.61	$1,001.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $611.00 / $2,907.91 / $3,461.80	Facility		$611.00	$2,907.91	$3,461.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $664.57 / $1,020.70 / $1,583.72	Professional		$664.57	$1,020.70	$1,583.72
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $5,979.00 / $12,759.00 / $23,031.00	Facility		$5,979.00	$12,759.00	$23,031.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $548.29 / $590.32 / $1,038.32	Professional		$548.29	$590.32	$1,038.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.53 / $653.48 / $1,006.55	Professional		$72.53	$653.48	$1,006.55
United Facility/Professional Facility Modifier Low / Median / High Price $3,320.00 / $10,309.00 / $15,888.00	Facility		$3,320.00	$10,309.00	$15,888.00
United Facility/Professional Professional Modifier Low / Median / High Price $643.51 / $925.29 / $1,570.89	Professional		$643.51	$925.29	$1,570.89
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $623.76 / $623.76 / $623.76	Professional		$623.76	$623.76	$623.76