Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $551.00 / $4,109.00 / $11,550.00	Facility		$551.00	$4,109.00	$11,550.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.39 / $147.32 / $219.41	Professional		$88.39	$147.32	$219.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $159.47 / $159.47 / $159.47	Facility		$159.47	$159.47	$159.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $105.35 / $191.04 / $665.74	Professional		$105.35	$191.04	$665.74
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $105.57 / $143.51 / $163.82	Professional		$105.57	$143.51	$163.82
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 $366.00 / $1,916.00 / $4,970.00	Facility		$366.00	$1,916.00	$4,970.00
United Facility/Professional Professional Modifier Low / Median / High Price $117.62 / $125.46 / $252.13	Professional		$117.62	$125.46	$252.13
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $96.75 / $96.75 / $96.75	Professional		$96.75	$96.75	$96.75