Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.78 / $68.98 / $169.87	Facility		$58.78	$68.98	$169.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.78 / $83.04 / $151.36	Professional		$58.78	$83.04	$151.36
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $64.93 / $67.81 / $111.43	Professional		$64.93	$67.81	$111.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $104.61 / $174.43 / $231.14	Facility		$104.61	$174.43	$231.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.09 / $98.09 / $194.84	Professional		$61.09	$98.09	$194.84
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $93.65 / $282.64 / $453.04	Facility		$93.65	$282.64	$453.04
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $56.81 / $107.20 / $267.02	Professional		$56.81	$107.20	$267.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.40 / $53.50 / $134.73	Professional		$30.40	$53.50	$134.73
United Facility/Professional Facility Modifier Low / Median / High Price $99.32 / $99.32 / $99.32	Facility		$99.32	$99.32	$99.32
United Facility/Professional Professional Modifier Low / Median / High Price $71.27 / $84.02 / $149.41	Professional		$71.27	$84.02	$149.41
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $55.99 / $55.99 / $55.99	Professional		$55.99	$55.99	$55.99