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 $161.84 / $269.47 / $315.45	Professional		$161.84	$269.47	$315.45
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 $410.65 / $410.65 / $410.65	Professional		$410.65	$410.65	$410.65
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $114.38 / $253.26 / $272.32	Professional		$114.38	$253.26	$272.32
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 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 $190.62 / $259.85 / $441.75	Professional		$190.62	$259.85	$441.75
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $235.16 / $235.16 / $235.16	Professional		$235.16	$235.16	$235.16