Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $152.08 / $171.30 / $314.41	Professional		$152.08	$171.30	$314.41
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $116.55 / $116.55 / $116.55	Professional		$116.55	$116.55	$116.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.58 / $305.20 / $700.39	Professional		$92.58	$305.20	$700.39
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $87.38 / $99.45 / $228.12	Professional		$87.38	$99.45	$228.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $103.30 / $141.18 / $235.71	Professional		$103.30	$141.18	$235.71
United Facility/Professional Professional Modifier Low / Median / High Price $124.49 / $189.53 / $338.78	Professional		$124.49	$189.53	$338.78
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $104.68 / $104.68 / $104.68	Professional		$104.68	$104.68	$104.68