Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,755.00 / $4,755.00 / $4,755.00	Facility		$4,755.00	$4,755.00	$4,755.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.57 / $337.57 / $337.57	Professional		$91.57	$337.57	$337.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.14 / $73.14 / $87.63	Professional		$73.14	$73.14	$87.63
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $38.45 / $68.62 / $72.51	Professional		$38.45	$68.62	$72.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $40.00 / $70.00	Professional		$40.00	$40.00	$70.00
United Facility/Professional Professional Modifier Low / Median / High Price $89.29 / $100.54 / $223.37	Professional		$89.29	$100.54	$223.37
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $97.90 / $97.90 / $97.90	Professional		$97.90	$97.90	$97.90