Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $668.00 / $5,839.00 / $12,669.00	Facility		$668.00	$5,839.00	$12,669.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $177.49 / $194.15 / $281.32	Professional		$177.49	$194.15	$281.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $323.00 / $876.77 / $1,043.78	Facility		$323.00	$876.77	$1,043.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $178.84 / $298.25 / $506.04	Professional		$178.84	$298.25	$506.04
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $2,561.00 / $4,821.00 / $9,360.00	Facility		$2,561.00	$4,821.00	$9,360.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $142.21 / $160.19 / $333.25	Professional		$142.21	$160.19	$333.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $197.49 / $273.82 / $364.74	Professional		$197.49	$273.82	$364.74
United Facility/Professional Facility Modifier Low / Median / High Price $803.00 / $3,611.00 / $8,105.00	Facility		$803.00	$3,611.00	$8,105.00
United Facility/Professional Professional Modifier Low / Median / High Price $182.56 / $302.18 / $497.73	Professional		$182.56	$302.18	$497.73
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $167.30 / $167.30 / $167.30	Professional		$167.30	$167.30	$167.30