Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $166.11 / $5,839.00 / $11,576.00	Facility		$166.11	$5,839.00	$11,576.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $152.05 / $175.42 / $261.72	Professional		$152.05	$175.42	$261.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $400.00 / $10,000.00	Facility		$400.00	$400.00	$10,000.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $166.25 / $234.71 / $387.39	Professional		$166.25	$234.71	$387.39
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $132.13 / $141.57 / $285.51	Professional		$132.13	$141.57	$285.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $180.78 / $233.13 / $292.07	Professional		$180.78	$233.13	$292.07
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 $155.40 / $222.20 / $394.46	Professional		$155.40	$222.20	$394.46
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $141.19 / $141.19 / $141.19	Professional		$141.19	$141.19	$141.19