Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $394.00 / $3,401.00 / $11,576.00	Facility		$394.00	$3,401.00	$11,576.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.06 / $67.00 / $91.02	Professional		$63.06	$67.00	$91.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $323.00 / $1,198.01 / $1,426.20	Facility		$323.00	$1,198.01	$1,426.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.38 / $100.42 / $161.59	Professional		$63.38	$100.42	$161.59
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $4,169.00 / $8,416.00 / $15,897.00	Facility		$4,169.00	$8,416.00	$15,897.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $51.37 / $55.03 / $161.88	Professional		$51.37	$55.03	$161.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $51.70 / $74.32 / $101.79	Professional		$51.70	$74.32	$101.79
United Facility/Professional Facility Modifier Low / Median / High Price $803.00 / $3,611.00 / $8,105.00	Facility		$803.00	$3,611.00	$8,105.00
United Facility/Professional Professional Modifier Low / Median / High Price $62.07 / $89.76 / $151.28	Professional		$62.07	$89.76	$151.28
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $51.71 / $51.71 / $51.71	Professional		$51.71	$51.71	$51.71