Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $75.86 / $95.50	Facility		$69.18	$75.86	$95.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $95.50 / $229.09	Professional		$75.86	$95.50	$229.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $95.50 / $147.91	Professional		$66.07	$95.50	$147.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $97.72 / $181.97	Professional		$69.18	$97.72	$181.97
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $75.86 / $102.33	Professional		$54.95	$75.86	$102.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $70.79 / $75.86	Facility		$70.79	$70.79	$75.86
United Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $95.50 / $162.18	Professional		$70.79	$95.50	$162.18
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $85.11 / $104.71	Professional		$74.13	$85.11	$104.71