Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $117.49 / $151.36	Professional		$95.50	$117.49	$151.36
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $117.49 / $131.83	Professional		$100.00	$117.49	$131.83
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $102.33 / $123.03 / $154.88	Professional	25	$102.33	$123.03	$154.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $109.65 / $208.93	Professional		$89.13	$109.65	$208.93
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $125.89 / $199.53	Professional		$95.50	$125.89	$199.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $102.33	Professional		$32.36	$33.11	$102.33
United Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $120.23 / $186.21	Professional		$81.28	$120.23	$186.21
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $123.03 / $151.36	Professional		$97.72	$123.03	$151.36