Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.63 / $159.75 / $270.17	Professional		$100.63	$159.75	$270.17
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $119.87 / $119.87 / $119.87	Professional		$119.87	$119.87	$119.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $106.81 / $206.39 / $375.17	Professional		$106.81	$206.39	$375.17
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $91.52 / $163.13 / $247.89	Professional		$91.52	$163.13	$247.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $139.97 / $210.89 / $310.84	Professional		$139.97	$210.89	$310.84
United Facility/Professional Professional Modifier Low / Median / High Price $154.19 / $217.11 / $397.73	Professional		$154.19	$217.11	$397.73
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $84.77 / $166.22 / $166.22	Professional		$84.77	$166.22	$166.22