Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.34 / $225.05 / $301.30	Professional		$173.34	$225.05	$301.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $170.01 / $259.37 / $415.53	Professional		$170.01	$259.37	$415.53
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $148.40 / $211.99 / $319.43	Professional		$148.40	$211.99	$319.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $180.93 / $254.06 / $344.94	Professional		$180.93	$254.06	$344.94
United Facility/Professional Professional Modifier Low / Median / High Price $196.69 / $256.60 / $458.74	Professional		$196.69	$256.60	$458.74
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $153.19 / $212.43 / $212.43	Professional		$153.19	$212.43	$212.43