Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $141.25 / $173.78	Facility		$131.83	$141.25	$173.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $158.49 / $229.09	Professional		$128.82	$158.49	$229.09
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $239.88 / $501.19 / $501.19	Professional	25	$239.88	$501.19	$501.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $169.82 / $208.93	Professional		$138.04	$169.82	$208.93
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $138.04 / $144.54 / $169.82	Professional	25	$138.04	$144.54	$169.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $281.84 / $281.84	Facility		$281.84	$281.84	$281.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $234.42 / $398.11	Professional		$131.83	$234.42	$398.11
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $141.25 / $186.21	Professional		$134.90	$141.25	$186.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $32.36 / $33.11	Professional		$28.84	$32.36	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $138.04 / $144.54	Facility		$131.83	$138.04	$144.54
United Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $169.82 / $323.59	Professional		$123.03	$169.82	$323.59
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $138.04 / $138.04	Professional		$138.04	$138.04	$138.04