Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $199.87 / $3,401.00 / $11,481.00	Facility		$199.87	$3,401.00	$11,481.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $183.93 / $209.50 / $284.64	Professional		$183.93	$209.50	$284.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $432.00 / $432.00 / $432.00	Facility		$432.00	$432.00	$432.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $179.01 / $287.55 / $451.37	Professional		$179.01	$287.55	$451.37
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $1,152.30 / $1,229.11 / $1,328.99	Facility		$1,152.30	$1,229.11	$1,328.99
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $98.85 / $204.88 / $271.97	Professional		$98.85	$204.88	$271.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $200.96 / $267.47 / $401.92	Professional		$200.96	$267.47	$401.92
United Facility/Professional Facility Modifier Low / Median / High Price $366.00 / $1,950.00 / $5,107.00	Facility		$366.00	$1,950.00	$5,107.00
United Facility/Professional Professional Modifier Low / Median / High Price $163.90 / $234.68 / $429.46	Professional		$163.90	$234.68	$429.46
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $152.77 / $152.77 / $210.80	Professional		$152.77	$152.77	$210.80