Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $157.99 / $258.95 / $21,525.00	Facility		$157.99	$258.95	$21,525.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.72 / $208.12 / $315.62	Professional		$158.72	$208.12	$315.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,226.00 / $21,815.00 / $47,578.00	Facility		$5,226.00	$21,815.00	$47,578.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $175.89 / $298.73 / $606.46	Professional		$175.89	$298.73	$606.46
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $125.67 / $146.66 / $321.50	Professional		$125.67	$146.66	$321.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.40 / $139.69 / $262.01	Professional		$30.40	$139.69	$262.01
United Facility/Professional Facility Modifier Low / Median / High Price $366.00 / $2,332.00 / $9,738.00	Facility		$366.00	$2,332.00	$9,738.00
United Facility/Professional Professional Modifier Low / Median / High Price $161.57 / $267.23 / $488.37	Professional		$161.57	$267.23	$488.37
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $156.25 / $156.25 / $156.25	Professional		$156.25	$156.25	$156.25