Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $539.00 / $3,714.00 / $11,576.00	Facility		$539.00	$3,714.00	$11,576.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $167.91 / $279.85 / $298.58	Professional		$167.91	$279.85	$298.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $323.00 / $323.00 / $323.00	Facility		$323.00	$323.00	$323.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $236.18 / $236.18 / $236.18	Professional		$236.18	$236.18	$236.18
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $193.69 / $204.27 / $309.68	Professional		$193.69	$204.27	$309.68
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 $231.43 / $333.40 / $569.17	Professional		$231.43	$333.40	$569.17
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $183.75 / $183.75 / $183.75	Professional		$183.75	$183.75	$183.75