Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $139.77 / $191.34 / $416.70	Facility		$139.77	$191.34	$416.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $148.18 / $199.42 / $274.63	Professional		$148.18	$199.42	$274.63
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $63.63 / $289.11 / $289.11	Professional	25	$63.63	$289.11	$289.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $231.77 / $262.29 / $447.00	Professional		$231.77	$262.29	$447.00
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $250.00 / $261.60 / $262.29	Professional	25	$250.00	$261.60	$262.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $257.33 / $257.33 / $679.83	Facility		$257.33	$257.33	$679.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $179.74 / $268.73 / $463.91	Professional		$179.74	$268.73	$463.91
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $102.46 / $212.32 / $299.94	Professional		$102.46	$212.32	$299.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $205.56 / $285.36 / $459.48	Professional		$205.56	$285.36	$459.48
United Facility/Professional Professional Modifier Low / Median / High Price $185.68 / $252.00 / $427.74	Professional		$185.68	$252.00	$427.74
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $158.74 / $227.20 / $227.20	Professional		$158.74	$227.20	$227.20