Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.66 / $171.80 / $285.12	Professional		$96.66	$171.80	$285.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $145.88 / $166.95 / $234.60	Professional		$145.88	$166.95	$234.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.16 / $180.70 / $343.68	Professional		$95.16	$180.70	$343.68
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $122.29 / $139.76 / $237.96	Professional		$122.29	$139.76	$237.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $104.80 / $165.22 / $241.19	Professional		$104.80	$165.22	$241.19
United Facility/Professional Professional Modifier Low / Median / High Price $168.55 / $223.79 / $374.73	Professional		$168.55	$223.79	$374.73
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $77.63 / $157.74 / $157.74	Professional		$77.63	$157.74	$157.74