Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $129.83 / $140.22 / $174.92	Facility		$129.83	$140.22	$174.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.87 / $147.15 / $190.46	Professional		$128.87	$147.15	$190.46
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $240.88 / $240.88 / $240.88	Professional	25	$240.88	$240.88	$240.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.61 / $231.52 / $336.44	Professional		$127.61	$231.52	$336.44
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $119.25 / $126.48 / $153.58	Professional		$119.25	$126.48	$153.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.63 / $30.04 / $225.19	Professional		$28.63	$30.04	$225.19
United Facility/Professional Professional Modifier Low / Median / High Price $119.67 / $167.32 / $319.95	Professional		$119.67	$167.32	$319.95
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $138.38 / $138.38 / $180.69	Professional		$138.38	$138.38	$180.69