Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.78 / $114.52 / $142.50	Facility		$102.78	$114.52	$142.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.23 / $115.86 / $143.91	Professional		$102.23	$115.86	$143.91
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $24.50 / $68.90 / $175.00	Professional	25	$24.50	$68.90	$175.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.30 / $175.37 / $254.64	Professional		$107.30	$175.37	$254.64
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $103.16 / $107.34 / $130.35	Professional		$103.16	$107.34	$130.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $181.52 / $185.84 / $188.00	Professional		$181.52	$185.84	$188.00
United Facility/Professional Professional Modifier Low / Median / High Price $97.76 / $142.27 / $266.24	Professional		$97.76	$142.27	$266.24
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $117.19 / $117.19 / $153.35	Professional		$117.19	$117.19	$153.35