Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $190.55 / $562.34	Professional		$120.23	$190.55	$562.34
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $123.03 / $213.80	Professional		$97.72	$123.03	$213.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $177.83 / $338.84	Professional		$120.23	$177.83	$338.84
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $128.82 / $181.97	Professional		$69.18	$128.82	$181.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $104.71 / $204.17	Professional		$32.36	$104.71	$204.17
United Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $147.91 / $229.09	Professional		$102.33	$147.91	$229.09
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $93.33 / $138.04	Professional		$93.33	$93.33	$138.04