Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $391.00 / $5,839.00 / $11,624.00	Facility		$391.00	$5,839.00	$11,624.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.12 / $131.74 / $250.00	Professional		$100.12	$131.74	$250.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $323.00 / $323.00 / $715.00	Facility		$323.00	$323.00	$715.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.18 / $138.44 / $286.01	Professional		$96.18	$138.44	$286.01
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $1,047.00 / $2,666.00 / $6,584.00	Facility		$1,047.00	$2,666.00	$6,584.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $98.88 / $123.61 / $262.74	Professional		$98.88	$123.61	$262.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $50.00 / $221.26	Professional		$50.00	$50.00	$221.26
United Facility/Professional Facility Modifier Low / Median / High Price $345.00 / $1,911.00 / $4,970.00	Facility		$345.00	$1,911.00	$4,970.00
United Facility/Professional Professional Modifier Low / Median / High Price $56.94 / $103.67 / $251.23	Professional		$56.94	$103.67	$251.23
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $123.61 / $156.16 / $156.16	Professional		$123.61	$156.16	$156.16