Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $185.45 / $3,279.00 / $11,550.00	Facility		$185.45	$3,279.00	$11,550.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.16 / $174.32 / $262.52	Professional		$101.16	$174.32	$262.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $323.00 / $323.00 / $323.00	Facility		$323.00	$323.00	$323.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $80.01 / $183.04 / $258.70	Professional		$80.01	$183.04	$258.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $40.00 / $50.00	Professional		$40.00	$40.00	$50.00
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 $121.83 / $223.64 / $400.69	Professional		$121.83	$223.64	$400.69
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $156.72 / $156.72 / $156.72	Professional		$156.72	$156.72	$156.72