Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $306.00 / $1,080.00 / $3,456.00	Facility		$306.00	$1,080.00	$3,456.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $306.00 / $630.00 / $1,050.00	Professional		$306.00	$630.00	$1,050.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $322.33 / $451.26 / $3,384.16	Facility		$322.33	$451.26	$3,384.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $449.57 / $908.20 / $1,527.89	Professional		$449.57	$908.20	$1,527.89
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $452.30 / $540.00 / $1,053.45	Professional		$452.30	$540.00	$1,053.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $131.37 / $135.05 / $184.17	Professional		$131.37	$135.05	$184.17
United Facility/Professional Facility Modifier Low / Median / High Price $900.00 / $900.00 / $1,350.00	Facility		$900.00	$900.00	$1,350.00
United Facility/Professional Professional Modifier Low / Median / High Price $315.00 / $378.00 / $1,410.17	Professional		$315.00	$378.00	$1,410.17
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $900.00 / $900.00 / $900.00	Professional		$900.00	$900.00	$900.00