Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.61 / $3,276.00 / $11,576.00	Facility		$95.61	$3,276.00	$11,576.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.48 / $89.98 / $161.04	Professional		$63.48	$89.98	$161.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $104.61 / $106.08 / $126.28	Facility		$104.61	$106.08	$126.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.51 / $132.44 / $246.79	Professional		$71.51	$132.44	$246.79
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $1,438.00 / $2,394.00 / $4,243.00	Facility		$1,438.00	$2,394.00	$4,243.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $84.62 / $113.47 / $223.28	Professional		$84.62	$113.47	$223.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $96.75 / $145.20 / $198.00	Professional		$96.75	$145.20	$198.00
United Facility/Professional Facility Modifier Low / Median / High Price $345.00 / $1,911.00 / $4,970.00	Facility		$345.00	$1,911.00	$4,970.00
United Facility/Professional Professional Modifier Low / Median / High Price $100.55 / $148.66 / $273.18	Professional		$100.55	$148.66	$273.18
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $54.64 / $101.83 / $101.83	Professional		$54.64	$101.83	$101.83