Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.61 / $142.66 / $191.15	Facility		$109.61	$142.66	$191.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.69 / $151.05 / $221.10	Professional		$112.69	$151.05	$221.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $150.84 / $206.28 / $252.75	Professional		$150.84	$206.28	$252.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $178.68 / $178.68 / $178.68	Facility		$178.68	$178.68	$178.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $126.44 / $195.23 / $326.98	Professional		$126.44	$195.23	$326.98
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $185.18 / $185.18 / $185.18	Facility		$185.18	$185.18	$185.18
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $83.25 / $154.19 / $200.18	Professional		$83.25	$154.19	$200.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $114.43 / $172.42 / $257.05	Professional		$114.43	$172.42	$257.05
United Facility/Professional Professional Modifier Low / Median / High Price $134.87 / $184.73 / $302.16	Professional		$134.87	$184.73	$302.16
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $101.87 / $122.81 / $122.81	Professional		$101.87	$122.81	$122.81