Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $470.05 / $470.05 / $470.05	Facility		$470.05	$470.05	$470.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.88 / $121.62 / $183.58	Professional		$92.88	$121.62	$183.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.08 / $129.19 / $282.91	Professional		$85.08	$129.19	$282.91
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $84.44 / $165.32 / $194.91	Professional		$84.44	$165.32	$194.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $21.36 / $85.44 / $141.37	Professional		$21.36	$85.44	$141.37
United Facility/Professional Professional Modifier Low / Median / High Price $63.33 / $117.40 / $351.83	Professional		$63.33	$117.40	$351.83
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $43.70 / $97.10 / $97.10	Professional		$43.70	$97.10	$97.10