Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $100.00 / $288.40	Facility		$43.65	$100.00	$288.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $141.25 / $338.84	Professional		$102.33	$141.25	$338.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $125.89 / $199.53	Professional		$89.13	$125.89	$199.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $245.47 / $363.08	Facility		$134.90	$245.47	$363.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $147.91 / $316.23	Professional		$100.00	$147.91	$316.23
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $194.98 / $204.17	Facility		$169.82	$194.98	$204.17
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $162.18 / $257.04	Professional		$102.33	$162.18	$257.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $72.44 / $158.49	Professional		$32.36	$72.44	$158.49
United Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $107.15 / $269.15	Facility		$51.29	$107.15	$269.15
United Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $138.04 / $257.04	Professional		$104.71	$138.04	$257.04
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $95.50 / $95.50	Professional		$95.50	$95.50	$95.50