Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $147.91 / $251.19	Professional		$114.82	$147.91	$251.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $107.15 / $147.91	Professional		$85.11	$107.15	$147.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $169.82 / $316.23	Professional		$114.82	$169.82	$316.23
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $117.49 / $169.82	Professional		$60.26	$117.49	$169.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $100.00 / $194.98	Professional		$32.36	$100.00	$194.98
United Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $144.54 / $223.87	Professional		$102.33	$144.54	$223.87
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $89.13 / $147.91	Professional		$89.13	$89.13	$147.91