Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.40 / $97.40 / $97.40	Facility		$97.40	$97.40	$97.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.03 / $122.18 / $168.41	Professional		$99.03	$122.18	$168.41
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $107.31 / $117.63 / $224.94	Professional		$107.31	$117.63	$224.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $123.00 / $130.00 / $150.00	Facility		$123.00	$130.00	$150.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.75 / $148.88 / $254.89	Professional		$104.75	$148.88	$254.89
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $157.50 / $157.50 / $225.00	Facility		$157.50	$157.50	$225.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $50.62 / $109.41 / $145.13	Professional		$50.62	$109.41	$145.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $104.20 / $140.82 / $208.68	Professional		$104.20	$140.82	$208.68
United Facility/Professional Professional Modifier Low / Median / High Price $89.80 / $120.50 / $199.54	Professional		$89.80	$120.50	$199.54
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $92.68 / $92.68 / $121.59	Professional		$92.68	$92.68	$121.59