Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $50.12 / $104.71	Facility		$38.90	$50.12	$104.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $51.29 / $69.18	Professional		$39.81	$51.29	$69.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $63.10 / $75.86	Professional		$54.95	$63.10	$75.86
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $66.07 / $66.07 / $66.07	Professional	25	$66.07	$66.07	$66.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $75.86 / $75.86	Facility		$75.86	$75.86	$75.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $66.07 / $102.33	Professional		$44.67	$66.07	$102.33
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $50.12 / $63.10	Professional		$46.77	$50.12	$63.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $72.44	Professional		$32.36	$33.11	$72.44
United Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $123.03 / $123.03	Facility		$117.49	$123.03	$123.03
United Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $58.88 / $102.33	Professional		$42.66	$58.88	$102.33
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $40.74 / $52.48	Professional		$40.74	$40.74	$52.48