Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $769.00 / $5,797.00 / $11,624.00	Facility		$769.00	$5,797.00	$11,624.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $201.26 / $335.44 / $401.14	Professional		$201.26	$335.44	$401.14
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 $530.01 / $530.01 / $530.01	Professional		$530.01	$530.01	$530.01
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $147.52 / $326.64 / $351.23	Professional		$147.52	$326.64	$351.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $50.00 / $628.08	Professional		$50.00	$50.00	$628.08
United Facility/Professional Facility Modifier Low / Median / High Price $677.00 / $5,417.00 / $13,093.00	Facility		$677.00	$5,417.00	$13,093.00
United Facility/Professional Professional Modifier Low / Median / High Price $241.52 / $333.67 / $625.54	Professional		$241.52	$333.67	$625.54
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $235.16 / $235.16 / $235.16	Professional		$235.16	$235.16	$235.16