Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.30 / $186.65 / $305.12	Professional		$162.30	$186.65	$305.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $204.67 / $217.43 / $335.47	Professional		$204.67	$217.43	$335.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.98 / $199.98 / $199.98	Professional		$199.98	$199.98	$199.98
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $143.27 / $153.50 / $282.11	Professional		$143.27	$153.50	$282.11
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 $174.34 / $233.83 / $444.27	Professional		$174.34	$233.83	$444.27
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $185.52 / $185.52 / $185.52	Professional		$185.52	$185.52	$185.52