Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.44 / $80.34 / $175.50	Professional		$60.44	$80.34	$175.50
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $30.22 / $37.34 / $54.84	Professional	52	$30.22	$37.34	$54.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $59.09 / $71.73 / $111.00	Professional		$59.09	$71.73	$111.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.06 / $102.80 / $205.84	Professional		$64.06	$102.80	$205.84
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $48.11 / $53.81 / $110.28	Professional		$48.11	$53.81	$110.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.93 / $72.42 / $124.33	Professional		$54.93	$72.42	$124.33
United Facility/Professional Professional Modifier Low / Median / High Price $54.90 / $86.63 / $156.83	Professional		$54.90	$86.63	$156.83
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $55.92 / $55.92 / $55.92	Professional		$55.92	$55.92	$55.92