Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $621.00 / $4,983.00 / $11,576.00	Facility		$621.00	$4,983.00	$11,576.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $505.89 / $563.76 / $961.19	Professional		$505.89	$563.76	$961.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $494.00 / $1,583.55 / $1,885.18	Facility		$494.00	$1,583.55	$1,885.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $549.12 / $772.40 / $1,224.15	Professional		$549.12	$772.40	$1,224.15
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $4,169.00 / $8,416.00 / $15,897.00	Facility		$4,169.00	$8,416.00	$15,897.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $412.97 / $442.46 / $892.31	Professional		$412.97	$442.46	$892.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.54 / $572.68 / $774.71	Professional		$45.54	$572.68	$774.71
United Facility/Professional Facility Modifier Low / Median / High Price $2,637.00 / $8,197.00 / $12,748.00	Facility		$2,637.00	$8,197.00	$12,748.00
United Facility/Professional Professional Modifier Low / Median / High Price $547.12 / $756.49 / $1,327.96	Professional		$547.12	$756.49	$1,327.96
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $439.41 / $439.41 / $439.41	Professional		$439.41	$439.41	$439.41