Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $107.15 / $120.23	Facility		$102.33	$107.15	$120.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $125.89 / $199.53	Professional		$102.33	$125.89	$199.53
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $114.82 / $154.88	Professional		$87.10	$114.82	$154.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $151.36 / $269.15	Professional		$104.71	$151.36	$269.15
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $91.20 / $125.89	Professional		$89.13	$91.20	$125.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $46.77 / $138.04	Professional		$32.36	$46.77	$138.04
United Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
United Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $138.04 / $245.47	Professional		$97.72	$138.04	$245.47
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $93.33 / $125.89	Professional		$33.11	$93.33	$125.89