Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $164.06 / $164.06 / $199.21	Facility		$164.06	$164.06	$199.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $157.06 / $172.42 / $219.05	Professional		$157.06	$172.42	$219.05
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $188.65 / $188.65 / $191.54	Professional		$188.65	$188.65	$191.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.05 / $45.05 / $45.05	Professional		$45.05	$45.05	$45.05
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $153.18 / $209.61 / $218.83	Professional		$153.18	$209.61	$218.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $50.00 / $326.06	Professional		$40.00	$50.00	$326.06
United Facility/Professional Professional Modifier Low / Median / High Price $161.71 / $161.71 / $161.71	Professional		$161.71	$161.71	$161.71
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $161.71 / $161.71 / $161.71	Professional		$161.71	$161.71	$161.71