Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $82.77 / $3,261.00 / $10,802.00	Facility		$82.77	$3,261.00	$10,802.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.78 / $94.94 / $135.72	Professional		$69.78	$94.94	$135.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $63.37 / $66.70 / $135.94	Facility		$63.37	$66.70	$135.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.44 / $117.75 / $204.08	Professional		$77.44	$117.75	$204.08
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $57.47 / $82.83 / $124.25	Professional		$57.47	$82.83	$124.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.24 / $102.93 / $174.43	Professional		$72.24	$102.93	$174.43
United Facility/Professional Facility Modifier Low / Median / High Price $351.00 / $1,916.00 / $4,970.00	Facility		$351.00	$1,916.00	$4,970.00
United Facility/Professional Professional Modifier Low / Median / High Price $78.45 / $110.47 / $212.80	Professional		$78.45	$110.47	$212.80
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $60.59 / $78.59 / $78.59	Professional		$60.59	$78.59	$78.59