Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $198.00 / $198.00 / $391.00	Facility		$198.00	$198.00	$391.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.05 / $17.82 / $244.00	Professional		$13.05	$17.82	$244.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.02 / $161.00 / $317.06	Facility		$19.02	$161.00	$317.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.07 / $22.86 / $79.53	Professional		$19.07	$22.86	$79.53
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $6.91 / $14.03 / $16.07	Professional		$6.91	$14.03	$16.07
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 / $1,986.00 / $5,259.00	Facility		$366.00	$1,986.00	$5,259.00
United Facility/Professional Professional Modifier Low / Median / High Price $11.57 / $16.32 / $30.30	Professional		$11.57	$16.32	$30.30
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $14.47 / $20.81 / $20.81	Professional		$14.47	$20.81	$20.81