Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $82.18 / $88.02 / $112.86	Facility		$82.18	$88.02	$112.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.13 / $99.76 / $189.45	Professional		$76.13	$99.76	$189.45
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $110.89 / $143.18 / $252.32	Professional		$110.89	$143.18	$252.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $129.88 / $129.88 / $129.88	Facility		$129.88	$129.88	$129.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.56 / $131.47 / $215.43	Professional		$92.56	$131.47	$215.43
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $85.90 / $118.53	Professional		$77.62	$85.90	$118.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $78.33 / $109.14 / $201.71	Professional		$78.33	$109.14	$201.71
United Facility/Professional Professional Modifier Low / Median / High Price $78.59 / $110.48 / $198.79	Professional		$78.59	$110.48	$198.79
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $87.32 / $87.32 / $87.32	Professional		$87.32	$87.32	$87.32