Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $855.43 / $1,048.13 / $1,068.67	Facility		$855.43	$1,048.13	$1,068.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $855.43 / $1,064.88 / $1,799.39	Professional		$855.43	$1,064.88	$1,799.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $323.00 / $323.00 / $323.00	Facility		$323.00	$323.00	$323.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $995.82 / $1,479.50 / $2,283.67	Professional		$995.82	$1,479.50	$2,283.67
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $1,240.00 / $2,689.00 / $6,696.00	Facility		$1,240.00	$2,689.00	$6,696.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $772.99 / $910.80 / $1,602.03	Professional		$772.99	$910.80	$1,602.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $958.76 / $1,324.35 / $1,856.17	Professional		$958.76	$1,324.35	$1,856.17
United Facility/Professional Facility Modifier Low / Median / High Price $706.00 / $5,279.00 / $9,580.00	Facility		$706.00	$5,279.00	$9,580.00
United Facility/Professional Professional Modifier Low / Median / High Price $933.59 / $1,356.46 / $2,294.71	Professional		$933.59	$1,356.46	$2,294.71
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $870.20 / $870.20 / $870.20	Professional		$870.20	$870.20	$870.20