Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $76.68 / $87.84 / $109.80	Facility		$76.68	$87.84	$109.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.25 / $102.06 / $248.22	Professional		$77.25	$102.06	$248.22
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $110.32 / $135.22 / $240.62	Professional		$110.32	$135.22	$240.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $135.36 / $135.36 / $135.36	Facility		$135.36	$135.36	$135.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.94 / $131.21 / $210.76	Professional		$92.94	$131.21	$210.76
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $80.20 / $85.94 / $122.15	Professional		$80.20	$85.94	$122.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $78.33 / $109.24 / $201.71	Professional		$78.33	$109.24	$201.71
United Facility/Professional Professional Modifier Low / Median / High Price $75.19 / $108.86 / $205.31	Professional		$75.19	$108.86	$205.31
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $89.87 / $89.87 / $89.87	Professional		$89.87	$89.87	$89.87