Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $193.47 / $3,276.00 / $11,576.00	Facility		$193.47	$3,276.00	$11,576.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.79 / $170.25 / $256.39	Professional		$95.79	$170.25	$256.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $323.00 / $323.00 / $323.00	Facility		$323.00	$323.00	$323.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.49 / $173.49 / $173.49	Professional		$173.49	$173.49	$173.49
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $128.49 / $137.66 / $270.85	Professional		$128.49	$137.66	$270.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $182.51 / $232.58 / $320.03	Professional		$182.51	$232.58	$320.03
United Facility/Professional Facility Modifier Low / Median / High Price $345.00 / $1,911.00 / $4,970.00	Facility		$345.00	$1,911.00	$4,970.00
United Facility/Professional Professional Modifier Low / Median / High Price $200.37 / $291.77 / $471.11	Professional		$200.37	$291.77	$471.11
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $90.55 / $160.94 / $160.94	Professional		$90.55	$160.94	$160.94