Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $68.17 / $95.09 / $127.40	Facility		$68.17	$95.09	$127.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.06 / $105.03 / $148.54	Professional		$72.06	$105.03	$148.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $92.06 / $112.87 / $197.59	Professional		$92.06	$112.87	$197.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $117.95 / $117.95 / $117.95	Facility		$117.95	$117.95	$117.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.33 / $129.58 / $217.91	Professional		$84.33	$129.58	$217.91
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $127.25 / $127.25 / $127.25	Facility		$127.25	$127.25	$127.25
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $56.66 / $107.93 / $136.26	Professional		$56.66	$107.93	$136.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $67.15 / $99.85 / $136.64	Professional		$67.15	$99.85	$136.64
United Facility/Professional Professional Modifier Low / Median / High Price $93.23 / $125.25 / $208.08	Professional		$93.23	$125.25	$208.08
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $67.15 / $86.30 / $86.30	Professional		$67.15	$86.30	$86.30