Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $109.65 / $109.65	Facility		$72.44	$109.65	$109.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $95.50 / $123.03	Professional		$72.44	$95.50	$123.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $154.88 / $186.21	Professional		$154.88	$154.88	$186.21
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $97.72 / $141.25	Professional		$85.11	$97.72	$141.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $199.53 / $691.83	Professional		$50.12	$199.53	$691.83
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $125.89 / $125.89	Professional		$125.89	$125.89	$125.89
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $15.85 / $134.90	Professional		$15.85	$15.85	$134.90