Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $621.00 / $4,696.00 / $11,550.00	Facility		$621.00	$4,696.00	$11,550.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $139.77 / $232.95 / $281.16	Professional		$139.77	$232.95	$281.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $323.00 / $323.00 / $715.00	Facility		$323.00	$323.00	$715.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $191.99 / $230.03 / $277.62	Professional		$191.99	$230.03	$277.62
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $105.62 / $110.83 / $172.13	Professional		$105.62	$110.83	$172.13
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 $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 $171.08 / $229.76 / $380.91	Professional		$171.08	$229.76	$380.91
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $115.61 / $115.61 / $115.61	Professional		$115.61	$115.61	$115.61