Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $103.04 / $550.54 / $770.40	Facility		$103.04	$550.54	$770.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.36 / $98.64 / $269.93	Professional		$73.36	$98.64	$269.93
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $80.00 / $80.00 / $80.00	Professional		$80.00	$80.00	$80.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $84.90 / $165.28 / $232.40	Facility		$84.90	$165.28	$232.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.65 / $131.63 / $268.20	Professional		$93.65	$131.63	$268.20
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $114.04 / $223.12 / $357.63	Facility		$114.04	$223.12	$357.63
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $87.50 / $130.53 / $193.87	Professional		$87.50	$130.53	$193.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $36.60 / $118.03 / $195.19	Professional		$36.60	$118.03	$195.19
United Facility/Professional Facility Modifier Low / Median / High Price $64.56 / $179.57 / $404.03	Facility		$64.56	$179.57	$404.03
United Facility/Professional Professional Modifier Low / Median / High Price $98.25 / $118.46 / $222.33	Professional		$98.25	$118.46	$222.33
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $71.81 / $71.81 / $71.81	Professional		$71.81	$71.81	$71.81