Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.55 / $66.31 / $89.95	Professional		$47.55	$66.31	$89.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $65.00 / $65.00 / $65.00	Professional		$65.00	$65.00	$65.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.64 / $75.95 / $111.31	Professional		$60.64	$75.95	$111.31
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $44.62 / $61.79 / $78.59	Professional		$44.62	$61.79	$78.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $106.67 / $141.80 / $192.02	Professional		$106.67	$141.80	$192.02
United Facility/Professional Professional Modifier Low / Median / High Price $55.65 / $65.53 / $103.54	Professional		$55.65	$65.53	$103.54
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $85.86 / $85.86 / $85.86	Professional		$85.86	$85.86	$85.86