Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $644.00 / $4,594.00 / $11,576.00	Facility		$644.00	$4,594.00	$11,576.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $514.33 / $557.71 / $741.43	Professional		$514.33	$557.71	$741.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $323.00 / $1,649.96 / $1,964.23	Facility		$323.00	$1,649.96	$1,964.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $371.49 / $616.05 / $1,116.39	Professional		$371.49	$616.05	$1,116.39
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $5,855.00 / $12,742.00 / $23,031.00	Facility		$5,855.00	$12,742.00	$23,031.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $368.73 / $633.79 / $698.35	Professional		$368.73	$633.79	$698.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $983.58 / $983.58 / $1,181.60	Professional		$983.58	$983.58	$1,181.60
United Facility/Professional Facility Modifier Low / Median / High Price $1,681.00 / $5,811.00 / $10,057.00	Facility		$1,681.00	$5,811.00	$10,057.00
United Facility/Professional Professional Modifier Low / Median / High Price $518.62 / $774.47 / $1,282.56	Professional		$518.62	$774.47	$1,282.56
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $106.11 / $106.11 / $106.11	Professional		$106.11	$106.11	$106.11