Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $110.54 / $309.51 / $690.15	Facility		$110.54	$309.51	$690.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $110.54 / $165.81 / $1,128.59	Professional		$110.54	$165.81	$1,128.59
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $132.19 / $158.63 / $270.86	Professional		$132.19	$158.63	$270.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $158.90 / $1,521.51 / $1,790.01	Facility		$158.90	$1,521.51	$1,790.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.32 / $204.74 / $308.08	Professional		$134.32	$204.74	$308.08
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $115.68 / $123.94 / $200.02	Professional		$115.68	$123.94	$200.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $125.55 / $173.69 / $244.92	Professional		$125.55	$173.69	$244.92
United Facility/Professional Professional Modifier Low / Median / High Price $131.47 / $172.80 / $317.74	Professional		$131.47	$172.80	$317.74
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $99.13 / $99.13 / $99.13	Professional		$99.13	$99.13	$99.13