Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $602.00 / $5,839.00 / $11,624.00	Facility		$602.00	$5,839.00	$11,624.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $161.31 / $268.85 / $286.86	Professional		$161.31	$268.85	$286.86
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $175.00 / $184.55 / $305.00	Professional		$175.00	$184.55	$305.00
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 $677.00 / $5,350.00 / $13,093.00	Facility		$677.00	$5,350.00	$13,093.00
United Facility/Professional Professional Modifier Low / Median / High Price $227.86 / $328.70 / $536.37	Professional		$227.86	$328.70	$536.37
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $204.74 / $204.74 / $204.74	Professional		$204.74	$204.74	$204.74