Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $88.49 / $94.18 / $114.58	Facility		$88.49	$94.18	$114.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.76 / $100.84 / $121.62	Professional		$90.76	$100.84	$121.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.06 / $141.06 / $141.06	Professional		$141.06	$141.06	$141.06
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $105.74 / $110.88 / $136.62	Professional		$105.74	$110.88	$136.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $112.01 / $158.36 / $262.26	Professional		$112.01	$158.36	$262.26
United Facility/Professional Professional Modifier Low / Median / High Price $85.57 / $114.27 / $206.89	Professional		$85.57	$114.27	$206.89
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $99.39 / $130.85 / $130.85	Professional		$99.39	$130.85	$130.85