Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.33 / $1,046.93 / $3,347.85	Facility		$48.33	$1,046.93	$3,347.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.33 / $53.35 / $83.41	Professional		$48.33	$53.35	$83.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,810.00 / $5,810.00 / $7,000.00	Facility		$5,810.00	$5,810.00	$7,000.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.06 / $73.89 / $119.77	Professional		$48.06	$73.89	$119.77
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $833.03 / $1,628.22 / $2,491.36	Facility		$833.03	$1,628.22	$2,491.36
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $35.40 / $37.94 / $76.50	Professional		$35.40	$37.94	$76.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.31 / $38.06 / $49.49	Professional		$28.31	$38.06	$49.49
United Facility/Professional Facility Modifier Low / Median / High Price $345.00 / $1,916.00 / $4,970.00	Facility		$345.00	$1,916.00	$4,970.00
United Facility/Professional Professional Modifier Low / Median / High Price $49.47 / $72.25 / $124.36	Professional		$49.47	$72.25	$124.36
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $38.54 / $38.54 / $38.54	Professional		$38.54	$38.54	$38.54