Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.00 / $85.46 / $114.88	Facility		$60.00	$85.46	$114.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.22 / $95.00 / $129.66	Professional		$75.22	$95.00	$129.66
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $72.36 / $79.29 / $102.86	Professional		$72.36	$79.29	$102.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $117.00 / $117.00 / $176.58	Facility		$117.00	$117.00	$176.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.00 / $98.00 / $161.75	Professional		$71.00	$98.00	$161.75
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $72.12 / $75.00 / $95.49	Professional		$72.12	$75.00	$95.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $77.63 / $109.80 / $155.02	Professional		$77.63	$109.80	$155.02
United Facility/Professional Facility Modifier Low / Median / High Price $91.77 / $91.77 / $91.77	Facility		$91.77	$91.77	$91.77
United Facility/Professional Professional Modifier Low / Median / High Price $75.41 / $106.19 / $167.53	Professional		$75.41	$106.19	$167.53
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $80.94 / $81.19 / $87.79	Professional		$80.94	$81.19	$87.79