Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $169.82 / $204.17	Professional		$134.90	$169.82	$204.17
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $162.18 / $190.55	Professional		$147.91	$162.18	$190.55
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $144.54 / $173.78 / $229.09	Professional	25	$144.54	$173.78	$229.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $158.49 / $302.00	Professional		$131.83	$158.49	$302.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $186.21 / $275.42	Professional		$134.90	$186.21	$275.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $151.36	Professional		$32.36	$33.11	$151.36
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 $141.25 / $177.83 / $223.87	Professional		$141.25	$177.83	$223.87