Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.23 / $108.33 / $124.79	Facility		$102.23	$108.33	$124.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.36 / $123.97 / $160.47	Professional		$100.36	$123.97	$160.47
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $80.98 / $123.83 / $214.79	Professional		$80.98	$123.83	$214.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $197.86 / $197.86 / $197.86	Facility		$197.86	$197.86	$197.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.55 / $134.86 / $245.93	Professional		$92.55	$134.86	$245.93
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $89.03 / $95.16 / $122.35	Professional		$89.03	$95.16	$122.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $88.57 / $146.30 / $197.86	Professional		$88.57	$146.30	$197.86
United Facility/Professional Professional Modifier Low / Median / High Price $99.81 / $136.34 / $253.80	Professional		$99.81	$136.34	$253.80
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $33.20 / $92.43 / $108.49	Professional		$33.20	$92.43	$108.49