Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $394.00 / $3,714.00 / $11,576.00	Facility		$394.00	$3,714.00	$11,576.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.40 / $164.05 / $221.36	Professional		$154.40	$164.05	$221.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $323.00 / $1,668.84 / $1,986.72	Facility		$323.00	$1,668.84	$1,986.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $176.08 / $252.18 / $402.78	Professional		$176.08	$252.18	$402.78
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 $139.69 / $149.66 / $263.25	Professional		$139.69	$149.66	$263.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $125.82 / $190.48 / $314.01	Professional		$125.82	$190.48	$314.01
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 $158.54 / $224.36 / $408.75	Professional		$158.54	$224.36	$408.75
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $155.49 / $155.49 / $155.49	Professional		$155.49	$155.49	$155.49