Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.73 / $123.10 / $195.03	Professional		$68.73	$123.10	$195.03
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $137.07 / $186.63 / $370.80	Professional	25	$137.07	$186.63	$370.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $86.03 / $142.88 / $232.49	Professional		$86.03	$142.88	$232.49
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $120.83 / $136.85 / $232.49	Professional	25	$120.83	$136.85	$232.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.73 / $122.62 / $244.73	Professional		$71.73	$122.62	$244.73
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $47.82 / $112.51 / $165.51	Professional		$47.82	$112.51	$165.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $130.13 / $182.13 / $270.68	Professional		$130.13	$182.13	$270.68
United Facility/Professional Professional Modifier Low / Median / High Price $85.33 / $120.63 / $185.59	Professional		$85.33	$120.63	$185.59
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $70.47 / $112.85	Professional		$45.00	$70.47	$112.85