Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $136.76 / $186.62 / $275.95	Professional		$136.76	$186.62	$275.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $142.47 / $245.30 / $429.15	Professional		$142.47	$245.30	$429.15
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $148.86 / $156.51 / $280.52	Professional		$148.86	$156.51	$280.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $149.05 / $217.62 / $321.93	Professional		$149.05	$217.62	$321.93
United Facility/Professional Professional Modifier Low / Median / High Price $202.49 / $300.87 / $545.84	Professional		$202.49	$300.87	$545.84
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $113.62 / $172.60 / $172.60	Professional		$113.62	$172.60	$172.60