Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $602.00 / $4,983.00 / $11,576.00	Facility		$602.00	$4,983.00	$11,576.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $253.54 / $287.22 / $374.57	Professional		$253.54	$287.22	$374.57
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 $291.80 / $419.10 / $671.92	Professional		$291.80	$419.10	$671.92
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 $230.66 / $250.81 / $441.16	Professional		$230.66	$250.81	$441.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.30 / $317.05 / $482.92	Professional		$68.30	$317.05	$482.92
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 $260.12 / $390.59 / $685.81	Professional		$260.12	$390.59	$685.81
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $261.70 / $261.70 / $261.70	Professional		$261.70	$261.70	$261.70