Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $636.91 / $3,401.00 / $11,550.00	Facility		$636.91	$3,401.00	$11,550.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $382.14 / $636.91 / $761.68	Professional		$382.14	$636.91	$761.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $323.00 / $323.00 / $323.00	Facility		$323.00	$323.00	$323.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $384.21 / $405.21 / $601.97	Professional		$384.21	$405.21	$601.97
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 $1,170.00 / $5,417.00 / $13,093.00	Facility		$1,170.00	$5,417.00	$13,093.00
United Facility/Professional Professional Modifier Low / Median / High Price $456.49 / $599.03 / $1,024.53	Professional		$456.49	$599.03	$1,024.53
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $60.85 / $60.85 / $60.85	Professional		$60.85	$60.85	$60.85