Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $78.83 / $89.25 / $111.24	Facility		$78.83	$89.25	$111.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.75 / $89.34 / $112.35	Professional		$75.75	$89.34	$112.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.26 / $143.75 / $200.25	Professional		$92.26	$143.75	$200.25
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $77.47 / $88.10 / $110.27	Professional		$77.47	$88.10	$110.27
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 $69.16 / $95.09 / $201.81	Professional		$69.16	$95.09	$201.81
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $91.59 / $91.59 / $129.72	Professional		$91.59	$91.59	$129.72