Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.98 / $185.70 / $264.62	Professional		$113.98	$185.70	$264.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $115.14 / $194.65 / $347.20	Professional		$115.14	$194.65	$347.20
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $123.17 / $164.56 / $259.52	Professional		$123.17	$164.56	$259.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $158.05 / $216.72 / $290.46	Professional		$158.05	$216.72	$290.46
United Facility/Professional Professional Modifier Low / Median / High Price $169.41 / $220.82 / $376.65	Professional		$169.41	$220.82	$376.65
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $112.63 / $188.56 / $188.56	Professional		$112.63	$188.56	$188.56