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 $241.82 / $403.03 / $486.20	Professional		$241.82	$403.03	$486.20
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 $435.89 / $435.89 / $435.89	Professional		$435.89	$435.89	$435.89
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $183.40 / $192.47 / $248.90	Professional		$183.40	$192.47	$248.90
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 $294.00 / $1,954.00 / $4,970.00	Facility		$294.00	$1,954.00	$4,970.00
United Facility/Professional Professional Modifier Low / Median / High Price $304.14 / $405.14 / $659.95	Professional		$304.14	$405.14	$659.95
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $176.36 / $176.36 / $176.36	Professional		$176.36	$176.36	$176.36