Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $105.72 / $124.37	Facility		$80.00	$105.72	$124.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.05 / $124.26 / $165.00	Professional		$99.05	$124.26	$165.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $90.52 / $110.94 / $148.47	Professional		$90.52	$110.94	$148.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $224.16 / $224.16 / $224.16	Facility		$224.16	$224.16	$224.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $101.00 / $144.00 / $250.74	Professional		$101.00	$144.00	$250.74
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $81.00 / $103.55 / $133.13	Professional		$81.00	$103.55	$133.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $103.25 / $145.18 / $197.86	Professional		$103.25	$145.18	$197.86
United Facility/Professional Professional Modifier Low / Median / High Price $95.00 / $136.07 / $216.78	Professional		$95.00	$136.07	$216.78
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $111.26 / $126.71 / $126.71	Professional		$111.26	$126.71	$126.71