Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,203.00 / $6,086.00 / $11,624.00	Facility		$1,203.00	$6,086.00	$11,624.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.63 / $88.63 / $4,573.00	Professional		$88.63	$88.63	$4,573.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $457.32 / $2,530.00	Facility		$400.00	$457.32	$2,530.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,102.00 / $1,102.00 / $1,102.00	Professional		$1,102.00	$1,102.00	$1,102.00
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $1,359.00 / $2,344.00 / $4,180.00	Facility		$1,359.00	$2,344.00	$4,180.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $249.67 / $319.68 / $449.40	Professional		$249.67	$319.68	$449.40
United Facility/Professional Facility Modifier Low / Median / High Price $188.00 / $1,454.00 / $4,429.00	Facility		$188.00	$1,454.00	$4,429.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $249.67 / $249.67 / $249.67	Professional		$249.67	$249.67	$249.67