Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $57.54 / $57.54	Facility		$57.54	$57.54	$57.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $83.18 / $125.89	Professional		$57.54	$83.18	$125.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $30.20 / $251.19	Professional		$12.02	$30.20	$251.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $204.17 / $263.03	Professional		$107.15	$204.17	$263.03
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $218.78 / $288.40	Professional		$123.03	$218.78	$288.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $39.81 / $50.12	Professional		$39.81	$39.81	$50.12
United Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $128.82 / $323.59	Professional		$34.67	$128.82	$323.59
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $89.13 / $89.13	Professional		$89.13	$89.13	$89.13