Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.38 / $77.53 / $195.00	Facility		$69.38	$77.53	$195.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.20 / $92.48 / $121.55	Professional		$76.20	$92.48	$121.55
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $67.31 / $97.61 / $145.00	Professional		$67.31	$97.61	$145.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $149.19 / $149.19 / $149.19	Facility		$149.19	$149.19	$149.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.00 / $89.01 / $172.19	Professional		$68.00	$89.01	$172.19
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $68.97 / $71.75 / $92.25	Professional		$68.97	$71.75	$92.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $76.07 / $109.14 / $148.56	Professional		$76.07	$109.14	$148.56
United Facility/Professional Professional Modifier Low / Median / High Price $73.44 / $95.87 / $160.49	Professional		$73.44	$95.87	$160.49
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $73.98 / $84.48 / $84.48	Professional		$73.98	$84.48	$84.48