Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $161.87 / $186.77 / $391.00	Professional		$161.87	$186.77	$391.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $203.76 / $203.76 / $303.04	Professional		$203.76	$203.76	$303.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.09 / $199.09 / $199.09	Professional		$199.09	$199.09	$199.09
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $142.63 / $152.82 / $267.72	Professional		$142.63	$152.82	$267.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $180.77 / $247.25 / $355.78	Professional		$180.77	$247.25	$355.78
United Facility/Professional Professional Modifier Low / Median / High Price $163.01 / $221.55 / $446.64	Professional		$163.01	$221.55	$446.64
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $184.69 / $184.69 / $184.69	Professional		$184.69	$184.69	$184.69