Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $161.94 / $171.76 / $209.70	Facility		$161.94	$171.76	$209.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $155.07 / $171.76 / $209.70	Professional		$155.07	$171.76	$209.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $164.86 / $164.86 / $164.86	Professional		$164.86	$164.86	$164.86
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $122.98 / $130.43 / $175.14	Professional		$122.98	$130.43	$175.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $183.76 / $185.91 / $186.99	Professional		$183.76	$185.91	$186.99
United Facility/Professional Professional Modifier Low / Median / High Price $150.96 / $250.80 / $415.26	Professional		$150.96	$250.80	$415.26
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $152.94 / $152.94 / $186.33	Professional		$152.94	$152.94	$186.33