Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $73.50 / $127.26 / $430.94	Facility		$73.50	$127.26	$430.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.89 / $112.80 / $153.88	Professional		$96.89	$112.80	$153.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $144.61 / $144.61 / $144.61	Professional		$144.61	$144.61	$144.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.36 / $140.50 / $544.08	Facility		$100.36	$140.50	$544.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.34 / $127.65 / $259.83	Professional		$75.34	$127.65	$259.83
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $172.25 / $694.24 / $1,112.74	Facility		$172.25	$694.24	$1,112.74
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $86.77 / $86.77 / $172.62	Professional		$86.77	$86.77	$172.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.08 / $76.36 / $170.98	Professional		$19.08	$76.36	$170.98
United Facility/Professional Facility Modifier Low / Median / High Price $144.61 / $144.61 / $216.92	Facility		$144.61	$144.61	$216.92
United Facility/Professional Professional Modifier Low / Median / High Price $65.06 / $103.97 / $289.22	Professional		$65.06	$103.97	$289.22
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $86.77 / $86.77 / $86.77	Professional		$86.77	$86.77	$86.77