Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $223.87 / $371.54	Facility		$83.18	$223.87	$371.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $83.18 / $141.25	Professional		$83.18	$83.18	$141.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $81.28 / $194.98	Professional		$74.13	$81.28	$194.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $95.50 / $95.50	Facility		$95.50	$95.50	$95.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $95.50 / $95.50	Professional		$95.50	$95.50	$95.50
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $87.10 / $87.10	Facility		$87.10	$87.10	$87.10
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $85.11 / $85.11	Professional		$85.11	$85.11	$85.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $158.49 / $213.80	Facility		$158.49	$158.49	$213.80
United Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $85.11 / $131.83	Professional		$83.18	$85.11	$131.83
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $83.18 / $83.18	Professional		$83.18	$83.18	$83.18