Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $236.08 / $236.08 / $236.08	Facility		$236.08	$236.08	$236.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.42 / $54.52 / $360.84	Professional		$38.42	$54.52	$360.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $28.96 / $109.95 / $158.24	Professional		$28.96	$109.95	$158.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.66 / $63.14 / $125.60	Professional		$31.66	$63.14	$125.60
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $44.74 / $73.20 / $146.38	Professional		$44.74	$73.20	$146.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $49.47 / $71.37 / $93.81	Professional		$49.47	$71.37	$93.81
United Facility/Professional Professional Modifier Low / Median / High Price $33.97 / $50.93 / $189.11	Professional		$33.97	$50.93	$189.11
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $20.68 / $45.95 / $45.95	Professional		$20.68	$45.95	$45.95