Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $3,235.94 / $9,332.54	Facility		$407.38	$3,235.94	$9,332.54
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,412.54 / $1,412.54 / $1,412.54	Facility	50	$1,412.54	$1,412.54	$1,412.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $186.21 / $389.05	Professional		$120.23	$186.21	$389.05
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $100.00 / $323.59 / $933.25	Professional	50	$100.00	$323.59	$933.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $158.49 / $331.13	Facility		$151.36	$158.49	$331.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $190.55 / $354.81	Professional		$102.33	$190.55	$354.81
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $2,454.71 / $4,168.69	Facility		$1,513.56	$2,454.71	$4,168.69
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $120.23 / $251.19	Professional		$104.71	$120.23	$251.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $181.97	Professional		$32.36	$33.11	$181.97
United Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $1,548.82 / $3,890.45	Facility		$251.19	$1,548.82	$3,890.45
United Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $165.96 / $295.12	Professional		$109.65	$165.96	$295.12
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $123.03 / $154.88	Professional		$97.72	$123.03	$154.88