Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $176.51 / $191.25 / $214.51	Facility	54	$176.51	$191.25	$214.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $236.86 / $303.83 / $477.35	Professional		$236.86	$303.83	$477.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $257.27 / $389.09 / $609.01	Professional		$257.27	$389.09	$609.01
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $132.90 / $266.57 / $375.01	Professional		$132.90	$266.57	$375.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.62 / $184.21 / $454.83	Professional		$33.62	$184.21	$454.83
United Facility/Professional Professional Modifier Low / Median / High Price $234.15 / $330.27 / $601.34	Professional		$234.15	$330.27	$601.34
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $238.47 / $269.11 / $269.11	Professional		$238.47	$269.11	$269.11