Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.73 / $81.73 / $81.73	Facility		$81.73	$81.73	$81.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.73 / $101.79 / $139.09	Professional		$88.73	$101.79	$139.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $89.87 / $96.63 / $178.38	Professional		$89.87	$96.63	$178.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $116.35 / $345.00 / $720.30	Facility		$116.35	$345.00	$720.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.75 / $131.43 / $223.93	Professional		$88.75	$131.43	$223.93
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $49.34 / $105.06 / $141.31	Professional		$49.34	$105.06	$141.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $80.83 / $105.93 / $163.00	Professional		$80.83	$105.93	$163.00
United Facility/Professional Professional Modifier Low / Median / High Price $78.83 / $105.31 / $171.54	Professional		$78.83	$105.31	$171.54
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $77.62 / $101.52	Professional		$77.62	$77.62	$101.52