Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $65.44 / $78.16 / $86.28	Facility		$65.44	$78.16	$86.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.00 / $88.87 / $118.36	Professional		$68.00	$88.87	$118.36
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $68.40 / $94.42 / $170.96	Professional		$68.40	$94.42	$170.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $125.42 / $125.42 / $125.42	Facility		$125.42	$125.42	$125.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.00 / $102.00 / $143.69	Professional		$71.00	$102.00	$143.69
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $64.65 / $67.34 / $88.00	Professional		$64.65	$67.34	$88.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.75 / $110.34 / $150.45	Professional		$72.75	$110.34	$150.45
United Facility/Professional Professional Modifier Low / Median / High Price $78.80 / $108.74 / $165.64	Professional		$78.80	$108.74	$165.64
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $57.45 / $73.79 / $79.78	Professional		$57.45	$73.79	$79.78