Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $354.00 / $3,276.00 / $11,481.00	Facility		$354.00	$3,276.00	$11,481.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $224.96 / $247.46 / $1,301.09	Professional		$224.96	$247.46	$1,301.09
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 $655.93 / $676.01 / $757.50	Professional		$655.93	$676.01	$757.50
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 $1,170.00 / $5,575.00 / $13,486.00	Facility		$1,170.00	$5,575.00	$13,486.00
United Facility/Professional Professional Modifier Low / Median / High Price $867.08 / $1,272.72 / $2,266.78	Professional		$867.08	$1,272.72	$2,266.78
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $479.30 / $479.30 / $479.30	Professional		$479.30	$479.30	$479.30