Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $165.96 / $281.84	Facility		$102.33	$165.96	$281.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $162.18 / $213.80	Professional		$107.15	$162.18	$213.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $147.91 / $154.88	Professional		$128.82	$147.91	$154.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $181.97 / $181.97	Facility		$181.97	$181.97	$181.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $181.97 / $181.97	Professional		$181.97	$181.97	$181.97
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $165.96 / $165.96	Facility		$165.96	$165.96	$165.96
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $165.96 / $165.96	Professional		$165.96	$165.96	$165.96
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 $144.54 / $144.54 / $194.98	Facility		$144.54	$144.54	$194.98
United Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $162.18 / $194.98	Professional		$154.88	$162.18	$194.98
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $134.90 / $134.90	Professional		$134.90	$134.90	$134.90