Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $165.96 / $208.93	Professional		$125.89	$165.96	$208.93
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $125.89 / $138.04	Professional		$109.65	$125.89	$138.04
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $117.49 / $123.03 / $162.18	Professional	25	$117.49	$123.03	$162.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $138.04 / $234.42	Professional		$100.00	$138.04	$234.42
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $177.83 / $281.84	Professional		$107.15	$177.83	$281.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $114.82	Professional		$32.36	$33.11	$114.82
United Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $169.82 / $263.03	Professional		$114.82	$169.82	$263.03
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $138.04 / $169.82	Professional		$107.15	$138.04	$169.82