Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $364.89 / $4,109.00 / $11,576.00	Facility		$364.89	$4,109.00	$11,576.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $291.56 / $387.70 / $637.29	Professional		$291.56	$387.70	$637.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $365.33 / $414.33 / $2,530.00	Facility		$365.33	$414.33	$2,530.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $332.12 / $502.45 / $821.76	Professional		$332.12	$502.45	$821.76
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $4,672.00 / $12,190.00 / $22,833.00	Facility		$4,672.00	$12,190.00	$22,833.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $175.74 / $351.47 / $601.89	Professional		$175.74	$351.47	$601.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.77 / $476.21 / $730.27	Professional		$33.77	$476.21	$730.27
United Facility/Professional Facility Modifier Low / Median / High Price $1,301.00 / $5,675.00 / $9,772.00	Facility		$1,301.00	$5,675.00	$9,772.00
United Facility/Professional Professional Modifier Low / Median / High Price $338.80 / $488.44 / $874.06	Professional		$338.80	$488.44	$874.06
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $287.24 / $392.03 / $392.03	Professional		$287.24	$392.03	$392.03