Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $169.82 / $309.03	Facility		$75.86	$169.82	$309.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $75.86 / $134.90	Professional		$70.79	$75.86	$134.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $67.61 / $93.33	Professional		$58.88	$67.61	$93.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $81.28 / $81.28	Facility		$77.62	$81.28	$81.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $81.28	Professional		$81.28	$81.28	$81.28
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $75.86 / $75.86	Facility		$70.79	$75.86	$75.86
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $67.61 / $75.86	Professional		$67.61	$67.61	$75.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $123.03 / $123.03	Professional		$123.03	$123.03	$123.03
United Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $81.28 / $125.89	Facility		$70.79	$81.28	$125.89
United Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $72.44 / $89.13	Professional		$72.44	$72.44	$89.13
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $72.44 / $72.44	Professional		$72.44	$72.44	$72.44