Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $154.93 / $3,241.00 / $11,576.00	Facility		$154.93	$3,241.00	$11,576.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.34 / $169.30 / $271.45	Professional		$108.34	$169.30	$271.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $160.57 / $191.15 / $2,530.00	Facility		$160.57	$191.15	$2,530.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $121.25 / $206.89 / $372.16	Professional		$121.25	$206.89	$372.16
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 $84.92 / $153.66 / $244.34	Professional		$84.92	$153.66	$244.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $132.18 / $195.51 / $295.26	Professional		$132.18	$195.51	$295.26
United Facility/Professional Facility Modifier Low / Median / High Price $573.00 / $3,514.00 / $7,044.00	Facility		$573.00	$3,514.00	$7,044.00
United Facility/Professional Professional Modifier Low / Median / High Price $157.01 / $218.06 / $374.80	Professional		$157.01	$218.06	$374.80
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $94.47 / $167.24 / $167.24	Professional		$94.47	$167.24	$167.24