Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $157.85 / $5,839.00 / $11,576.00	Facility		$157.85	$5,839.00	$11,576.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $142.21 / $157.85 / $263.86	Professional		$142.21	$157.85	$263.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $323.00 / $323.00 / $323.00	Facility		$323.00	$323.00	$323.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.26 / $213.11 / $364.31	Professional		$144.26	$213.11	$364.31
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $114.36 / $122.53 / $247.10	Professional		$114.36	$122.53	$247.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $146.49 / $193.26 / $251.23	Professional		$146.49	$193.26	$251.23
United Facility/Professional Facility Modifier Low / Median / High Price $345.00 / $1,916.00 / $4,970.00	Facility		$345.00	$1,916.00	$4,970.00
United Facility/Professional Professional Modifier Low / Median / High Price $150.26 / $212.32 / $364.52	Professional		$150.26	$212.32	$364.52
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $120.00 / $120.00 / $120.00	Professional		$120.00	$120.00	$120.00