Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $935.00 / $5,839.00 / $11,576.00	Facility		$935.00	$5,839.00	$11,576.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $139.91 / $935.00 / $1,398.55	Professional		$139.91	$935.00	$1,398.55
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 $395.01 / $422.08 / $536.08	Professional		$395.01	$422.08	$536.08
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 $677.00 / $5,417.00 / $13,093.00	Facility		$677.00	$5,417.00	$13,093.00
United Facility/Professional Professional Modifier Low / Median / High Price $441.76 / $789.42 / $1,520.28	Professional		$441.76	$789.42	$1,520.28
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $254.70 / $254.70 / $254.70	Professional		$254.70	$254.70	$254.70