Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $621.00 / $4,790.00 / $11,576.00	Facility		$621.00	$4,790.00	$11,576.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $249.73 / $265.33 / $369.12	Professional		$249.73	$265.33	$369.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $494.00 / $1,668.84 / $1,986.72	Facility		$494.00	$1,668.84	$1,986.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $275.87 / $412.52 / $649.71	Professional		$275.87	$412.52	$649.71
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 $226.31 / $247.36 / $435.09	Professional		$226.31	$247.36	$435.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.30 / $302.12 / $476.83	Professional		$68.30	$302.12	$476.83
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 $251.37 / $360.71 / $655.95	Professional		$251.37	$360.71	$655.95
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $258.13 / $258.13 / $258.13	Professional		$258.13	$258.13	$258.13