Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.42 / $81.76 / $250.84	Facility		$33.42	$81.76	$250.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.76 / $117.78 / $177.54	Professional		$81.76	$117.78	$177.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $66.31 / $93.78 / $187.50	Professional		$66.31	$93.78	$187.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $140.24 / $300.52 / $420.74	Facility		$140.24	$300.52	$420.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.60 / $161.01 / $274.47	Professional		$85.60	$161.01	$274.47
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $133.93 / $154.22 / $162.34	Facility		$133.93	$154.22	$162.34
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $89.17 / $146.11 / $213.07	Professional		$89.17	$146.11	$213.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.62 / $47.35 / $94.21	Professional		$28.62	$47.35	$94.21
United Facility/Professional Facility Modifier Low / Median / High Price $212.74 / $212.74 / $478.66	Facility		$212.74	$212.74	$478.66
United Facility/Professional Professional Modifier Low / Median / High Price $102.32 / $136.50 / $253.43	Professional		$102.32	$136.50	$253.43
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $79.19 / $79.19 / $79.19	Professional		$79.19	$79.19	$79.19