Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $644.00 / $5,839.00 / $12,444.00	Facility		$644.00	$5,839.00	$12,444.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $375.47 / $480.29 / $811.39	Professional		$375.47	$480.29	$811.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $695.00 / $1,581.91 / $1,883.22	Facility		$695.00	$1,581.91	$1,883.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $372.12 / $571.41 / $1,000.71	Professional		$372.12	$571.41	$1,000.71
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $5,790.00 / $12,742.00 / $23,031.00	Facility		$5,790.00	$12,742.00	$23,031.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $202.01 / $348.94 / $577.47	Professional		$202.01	$348.94	$577.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.48 / $347.63 / $680.58	Professional		$72.48	$347.63	$680.58
United Facility/Professional Facility Modifier Low / Median / High Price $2,637.00 / $8,267.00 / $12,748.00	Facility		$2,637.00	$8,267.00	$12,748.00
United Facility/Professional Professional Modifier Low / Median / High Price $357.72 / $475.26 / $837.59	Professional		$357.72	$475.26	$837.59
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $383.24 / $383.24 / $383.24	Professional		$383.24	$383.24	$383.24