Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.53 / $109.62 / $137.71	Facility		$102.53	$109.62	$137.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.15 / $117.05 / $139.99	Professional		$101.15	$117.05	$139.99
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $128.72 / $128.72 / $128.72	Professional	25	$128.72	$128.72	$128.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.59 / $174.40 / $260.08	Professional		$93.59	$174.40	$260.08
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $89.80 / $92.62 / $114.00	Professional		$89.80	$92.62	$114.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.63 / $30.04 / $149.79	Professional		$28.63	$30.04	$149.79
United Facility/Professional Professional Modifier Low / Median / High Price $92.65 / $136.97 / $248.26	Professional		$92.65	$136.97	$248.26
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $101.36 / $101.36 / $132.32	Professional		$101.36	$101.36	$132.32