Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.87 / $2,843.00 / $9,600.00	Facility		$112.87	$2,843.00	$9,600.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,207.89 / $2,240.26 / $2,865.57	Facility	50	$2,207.89	$2,240.26	$2,865.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $105.50 / $156.27 / $301.86	Professional		$105.50	$156.27	$301.86
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $339.69 / $339.69 / $1,004.40	Professional	50	$339.69	$339.69	$1,004.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $167.24 / $169.93 / $323.00	Facility		$167.24	$169.93	$323.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $111.43 / $193.66 / $387.60	Professional		$111.43	$193.66	$387.60
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $2,093.00 / $3,148.00 / $7,541.00	Facility		$2,093.00	$3,148.00	$7,541.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $96.82 / $195.89 / $287.30	Professional		$96.82	$195.89	$287.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.14 / $200.51 / $320.44	Professional		$32.14	$200.51	$320.44
United Facility/Professional Facility Modifier Low / Median / High Price $591.00 / $2,671.00 / $6,077.00	Facility		$591.00	$2,671.00	$6,077.00
United Facility/Professional Professional Modifier Low / Median / High Price $138.57 / $235.10 / $409.35	Professional		$138.57	$235.10	$409.35
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $92.43 / $142.32 / $142.32	Professional		$92.43	$142.32	$142.32