Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $125.89 / $125.89	Facility		$125.89	$125.89	$125.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $125.89 / $138.04	Professional		$125.89	$125.89	$138.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $83.18 / $85.11	Professional		$83.18	$83.18	$85.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $131.83 / $131.83	Facility		$131.83	$131.83	$131.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $398.11 / $398.11	Professional		$398.11	$398.11	$398.11
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $23.44 / $25.12	Professional		$22.39	$23.44	$25.12
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 $102.33 / $102.33 / $138.04	Facility		$102.33	$102.33	$138.04
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 $134.90 / $134.90 / $134.90	Professional		$134.90	$134.90	$134.90