Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $105.72 / $249.96	Facility		$80.00	$105.72	$249.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.72 / $145.66 / $209.40	Professional		$108.72	$145.66	$209.40
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $146.00 / $146.00 / $146.00	Professional	25	$146.00	$146.00	$146.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $89.23 / $120.62 / $193.45	Professional		$89.23	$120.62	$193.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $126.00 / $126.00 / $246.37	Facility		$126.00	$126.00	$246.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.00 / $143.52 / $231.50	Professional		$102.00	$143.52	$231.50
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $118.52 / $152.38	Professional		$75.00	$118.52	$152.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $127.83 / $181.22 / $248.78	Professional		$127.83	$181.22	$248.78
United Facility/Professional Professional Modifier Low / Median / High Price $104.78 / $149.12 / $240.21	Professional		$104.78	$149.12	$240.21
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $112.78 / $131.75 / $142.44	Professional		$112.78	$131.75	$142.44