Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $147.91 / $346.74	Professional		$75.86	$147.91	$346.74
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $131.83 / $177.83 / $389.05	Professional	25	$131.83	$177.83	$389.05
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $147.91 / $251.19	Professional		$131.83	$147.91	$251.19
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $109.65 / $144.54 / $288.40	Professional	25	$109.65	$144.54	$288.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $123.03 / $263.03	Professional		$72.44	$123.03	$263.03
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $117.49 / $169.82	Professional		$56.23	$117.49	$169.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $63.10 / $173.78	Professional		$32.36	$63.10	$173.78
United Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $102.33 / $162.18	Professional		$64.57	$102.33	$162.18
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $64.57 / $112.20	Professional		$44.67	$64.57	$112.20