Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $126.93 / $196.79 / $320.10	Professional		$126.93	$196.79	$320.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $187.91 / $187.91 / $267.43	Professional		$187.91	$187.91	$267.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $140.74 / $235.15 / $424.19	Professional		$140.74	$235.15	$424.19
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $95.51 / $182.20 / $287.32	Professional		$95.51	$182.20	$287.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $31.92 / $226.78 / $354.82	Professional		$31.92	$226.78	$354.82
United Facility/Professional Professional Modifier Low / Median / High Price $173.39 / $240.72 / $427.35	Professional		$173.39	$240.72	$427.35
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $109.79 / $197.88 / $197.88	Professional		$109.79	$197.88	$197.88