Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.15 / $222.05 / $261.85	Facility		$32.15	$222.05	$261.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.61 / $74.64 / $166.85	Professional		$54.61	$74.64	$166.85
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $13.00 / $106.02 / $149.74	Professional		$13.00	$106.02	$149.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.23 / $70.34 / $138.83	Professional		$42.23	$70.34	$138.83
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $65.80 / $90.92 / $162.85	Professional		$65.80	$90.92	$162.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $77.32 / $110.83 / $143.13	Professional		$77.32	$110.83	$143.13
United Facility/Professional Professional Modifier Low / Median / High Price $46.99 / $60.96 / $239.23	Professional		$46.99	$60.96	$239.23
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $33.31 / $74.03 / $74.03	Professional		$33.31	$74.03	$74.03