Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $377.00 / $3,714.00 / $11,576.00	Facility		$377.00	$3,714.00	$11,576.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.38 / $105.56 / $160.74	Professional		$97.38	$105.56	$160.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.58 / $501.76 / $1,652.00	Facility		$120.58	$501.76	$1,652.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.21 / $144.61 / $220.07	Professional		$95.21	$144.61	$220.07
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $1,894.00 / $3,083.00 / $6,645.00	Facility		$1,894.00	$3,083.00	$6,645.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $53.49 / $109.73 / $140.16	Professional		$53.49	$109.73	$140.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $77.57 / $107.70 / $155.15	Professional		$77.57	$107.70	$155.15
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 $86.77 / $118.88 / $209.13	Professional		$86.77	$118.88	$209.13
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $80.17 / $80.17 / $80.17	Professional		$80.17	$80.17	$80.17