Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $4,073.80 / $9,549.93	Facility		$812.83	$4,073.80	$9,549.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $181.97 / $363.08	Professional		$154.88	$181.97	$363.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $436.52 / $1,659.59	Facility		$302.00	$436.52	$1,659.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $229.09 / $389.05	Professional		$147.91	$229.09	$389.05
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,230.27 / $1,318.26	Facility		$1,148.15	$1,230.27	$1,318.26
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $134.90 / $218.78	Professional		$107.15	$134.90	$218.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $245.47	Professional		$32.36	$33.11	$245.47
United Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $1,778.28 / $4,168.69	Facility		$346.74	$1,778.28	$4,168.69
United Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $190.55 / $346.74	Professional		$131.83	$190.55	$346.74
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $117.49 / $173.78	Professional		$117.49	$117.49	$173.78