Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.10 / $167.00 / $534.63	Facility		$104.10	$167.00	$534.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.38 / $115.86 / $133.24	Professional		$91.38	$115.86	$133.24
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $78.20 / $78.20 / $78.20	Professional		$78.20	$78.20	$78.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $104.95 / $146.93 / $490.56	Facility		$104.95	$146.93	$490.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.00 / $133.65 / $259.83	Professional		$80.00	$133.65	$259.83
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $129.65 / $134.84 / $134.84	Facility		$129.65	$134.84	$134.84
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $78.20 / $78.20 / $182.11	Professional		$78.20	$78.20	$182.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $21.24 / $84.96 / $178.80	Professional		$21.24	$84.96	$178.80
United Facility/Professional Facility Modifier Low / Median / High Price $130.35 / $130.35 / $195.52	Facility		$130.35	$130.35	$195.52
United Facility/Professional Professional Modifier Low / Median / High Price $45.62 / $76.48 / $207.44	Professional		$45.62	$76.48	$207.44
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $78.20 / $78.20 / $78.20	Professional		$78.20	$78.20	$78.20