Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $35,481.34 / $67,608.30	Facility		$3,715.35	$35,481.34	$67,608.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $25.12 / $30.90	Professional		$23.99	$25.12	$30.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $30.90 / $30.90	Facility		$30.90	$30.90	$30.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $30.90 / $30.90	Professional		$30.90	$30.90	$30.90
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $91.20 / $141.25	Professional		$35.48	$91.20	$141.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $199.53	Professional		$32.36	$33.11	$199.53
United Facility/Professional Facility Modifier Low / Median / High Price $0.31 / $30.90 / $30.90	Facility		$0.31	$30.90	$30.90
United Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $30.90 / $125.89	Professional		$30.90	$30.90	$125.89
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $30.90 / $134.90	Professional		$30.90	$30.90	$134.90