Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $121.69 / $182.02 / $366.00	Facility		$121.69	$182.02	$366.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.09 / $202.32 / $318.20	Professional		$147.09	$202.32	$318.20
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $246.91 / $463.84 / $481.95	Professional	25	$246.91	$463.84	$481.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $176.74 / $244.94 / $288.17	Professional		$176.74	$244.94	$288.17
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $227.60 / $227.60 / $267.77	Professional	25	$227.60	$227.60	$267.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $163.51 / $250.23 / $401.98	Professional		$163.51	$250.23	$401.98
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $187.44 / $194.86 / $240.99	Professional		$187.44	$194.86	$240.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $206.81 / $312.77 / $517.23	Professional		$206.81	$312.77	$517.23
United Facility/Professional Professional Modifier Low / Median / High Price $174.05 / $241.18 / $433.77	Professional		$174.05	$241.18	$433.77
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $155.69 / $232.72 / $232.72	Professional		$155.69	$232.72	$232.72