Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.89 / $87.29 / $89.35	Facility		$79.89	$87.29	$89.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.19 / $102.44 / $131.07	Professional		$88.19	$102.44	$131.07
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $99.59 / $136.40 / $177.77	Professional		$99.59	$136.40	$177.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $171.13 / $171.13 / $171.13	Facility		$171.13	$171.13	$171.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.34 / $136.43 / $241.47	Professional		$88.34	$136.43	$241.47
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $526.65 / $1,029.38 / $1,575.08	Facility		$526.65	$1,029.38	$1,575.08
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $48.03 / $83.37 / $133.03	Professional		$48.03	$83.37	$133.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $83.22 / $113.41 / $181.53	Professional		$83.22	$113.41	$181.53
United Facility/Professional Professional Modifier Low / Median / High Price $79.67 / $114.18 / $205.48	Professional		$79.67	$114.18	$205.48
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $80.68 / $81.96 / $81.96	Professional		$80.68	$81.96	$81.96