Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $492.73 / $492.73 / $492.73	Facility		$492.73	$492.73	$492.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.36 / $131.13 / $188.17	Professional		$97.36	$131.13	$188.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.28 / $135.36 / $296.60	Professional		$89.28	$135.36	$296.60
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $88.51 / $173.30 / $204.33	Professional		$88.51	$173.30	$204.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.23 / $88.91 / $147.11	Professional		$22.23	$88.91	$147.11
United Facility/Professional Professional Modifier Low / Median / High Price $69.41 / $123.06 / $398.30	Professional		$69.41	$123.06	$398.30
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $45.47 / $101.04 / $101.04	Professional		$45.47	$101.04	$101.04