Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $394.00 / $3,401.00 / $11,576.00	Facility		$394.00	$3,401.00	$11,576.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.05 / $31.13 / $62.18	Professional		$20.05	$31.13	$62.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.19 / $34.19 / $40.96	Professional		$34.19	$34.19	$40.96
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $21.05 / $128.90 / $128.90	Professional		$21.05	$128.90	$128.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $40.00 / $70.00	Professional		$40.00	$40.00	$70.00
United Facility/Professional Facility Modifier Low / Median / High Price $345.00 / $1,911.00 / $4,970.00	Facility		$345.00	$1,911.00	$4,970.00
United Facility/Professional Professional Modifier Low / Median / High Price $15.95 / $22.98 / $46.19	Professional		$15.95	$22.98	$46.19
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $63.32 / $63.32 / $63.32	Professional		$63.32	$63.32	$63.32