Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $805.20 / $3,401.00 / $11,576.00	Facility		$805.20	$3,401.00	$11,576.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $805.20 / $805.20 / $805.20	Professional		$805.20	$805.20	$805.20
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $79.73 / $119.95 / $139.91	Professional		$79.73	$119.95	$139.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $40.00 / $50.00	Professional		$40.00	$40.00	$50.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,170.00 / $5,575.00 / $13,486.00	Facility		$1,170.00	$5,575.00	$13,486.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $86.22 / $86.22 / $86.22	Professional		$86.22	$86.22	$86.22