Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $162.18 / $162.18	Facility		$162.18	$162.18	$162.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $162.18 / $194.98	Professional		$162.18	$162.18	$194.98
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $102.33 / $107.15	Professional		$95.50	$102.33	$107.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $169.82 / $169.82	Facility		$169.82	$169.82	$169.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $501.19 / $501.19	Professional		$501.19	$501.19	$501.19
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $81.28 / $87.10	Professional		$77.62	$81.28	$87.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $39.81 / $39.81	Professional		$39.81	$39.81	$39.81
United Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $128.82 / $173.78	Facility		$128.82	$128.82	$173.78
United Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $165.96 / $204.17	Professional		$165.96	$165.96	$204.17
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $177.83 / $177.83	Professional		$177.83	$177.83	$177.83