Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.07 / $84.93 / $93.76	Facility		$50.07	$84.93	$93.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.07 / $92.34 / $124.64	Professional		$50.07	$92.34	$124.64
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $88.03 / $97.43 / $108.74	Professional		$88.03	$97.43	$108.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $88.79 / $109.97 / $124.16	Facility		$88.79	$109.97	$124.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.18 / $102.97 / $174.83	Professional		$59.18	$102.97	$174.83
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $26.01 / $74.95 / $127.85	Professional		$26.01	$74.95	$127.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $78.89 / $105.88 / $148.03	Professional		$78.89	$105.88	$148.03
United Facility/Professional Facility Modifier Low / Median / High Price $69.27 / $71.94 / $71.94	Facility		$69.27	$71.94	$71.94
United Facility/Professional Professional Modifier Low / Median / High Price $50.85 / $89.85 / $165.38	Professional		$50.85	$89.85	$165.38
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $78.89 / $78.89 / $78.89	Professional		$78.89	$78.89	$78.89