Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $175.00 / $270.00 / $421.89	Facility		$175.00	$270.00	$421.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.31 / $117.59 / $176.47	Professional		$96.31	$117.59	$176.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.39 / $116.42 / $254.03	Professional		$76.39	$116.42	$254.03
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $86.25 / $148.37 / $174.93	Professional		$86.25	$148.37	$174.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.97 / $75.90 / $125.58	Professional		$18.97	$75.90	$125.58
United Facility/Professional Professional Modifier Low / Median / High Price $64.69 / $105.88 / $388.13	Professional		$64.69	$105.88	$388.13
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $38.81 / $86.25 / $86.25	Professional		$38.81	$86.25	$86.25