Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.36 / $102.44 / $113.08	Facility		$85.36	$102.44	$113.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.92 / $117.88 / $157.69	Professional		$90.92	$117.88	$157.69
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $95.12 / $122.81 / $203.81	Professional		$95.12	$122.81	$203.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $175.89 / $175.89 / $175.89	Facility		$175.89	$175.89	$175.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.00 / $134.00 / $185.99	Professional		$93.00	$134.00	$185.99
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $87.04 / $91.76 / $118.13	Professional		$87.04	$91.76	$118.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $100.48 / $142.90 / $197.42	Professional		$100.48	$142.90	$197.42
United Facility/Professional Professional Modifier Low / Median / High Price $100.98 / $138.94 / $218.08	Professional		$100.98	$138.94	$218.08
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $81.19 / $98.81 / $106.84	Professional		$81.19	$98.81	$106.84