Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $204.17 / $204.17	Facility		$204.17	$204.17	$204.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $173.78 / $223.87	Professional		$123.03	$173.78	$223.87
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $144.54 / $218.78	Professional		$134.90	$144.54	$218.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $39.81 / $50.12	Professional		$39.81	$39.81	$50.12
United Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $478.63 / $501.19	Professional		$478.63	$478.63	$501.19
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $302.00 / $302.00	Professional		$302.00	$302.00	$302.00