Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $491.87 / $491.87 / $491.87	Facility		$491.87	$491.87	$491.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.70 / $135.27 / $289.91	Professional		$100.70	$135.27	$289.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.12 / $135.13 / $295.95	Professional		$89.12	$135.13	$295.95
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $90.18 / $172.98 / $203.94	Professional		$90.18	$172.98	$203.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $24.69 / $98.80 / $163.47	Professional		$24.69	$98.80	$163.47
United Facility/Professional Professional Modifier Low / Median / High Price $70.70 / $122.84 / $405.81	Professional		$70.70	$122.84	$405.81
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $50.52 / $112.27 / $112.27	Professional		$50.52	$112.27	$112.27