Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $151.36 / $151.36	Facility		$107.15	$151.36	$151.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $147.91 / $257.04	Professional		$147.91	$147.91	$257.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $120.23 / $147.91	Professional		$52.48	$120.23	$147.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $165.96 / $165.96	Facility		$165.96	$165.96	$165.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $165.96 / $165.96	Professional		$165.96	$165.96	$165.96
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Facility		$151.36	$151.36	$151.36
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Professional		$151.36	$151.36	$151.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $39.81 / $199.53	Professional		$39.81	$39.81	$199.53
United Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $144.54 / $194.98	Facility		$144.54	$144.54	$194.98
United Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $147.91 / $186.21	Professional		$147.91	$147.91	$186.21
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $141.25 / $141.25	Professional		$141.25	$141.25	$141.25