Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $57.54 / $141.25	Facility		$53.70	$57.54	$141.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $123.03 / $239.88	Professional		$57.54	$123.03	$239.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $91.20 / $131.83	Professional		$66.07	$91.20	$131.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $109.65 / $109.65	Facility		$109.65	$109.65	$109.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $93.33 / $154.88	Professional		$61.66	$93.33	$154.88
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $52.48 / $87.10	Professional		$48.98	$52.48	$87.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $36.31 / $97.72	Professional		$32.36	$36.31	$97.72
United Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $53.70 / $58.88	Facility		$53.70	$53.70	$58.88
United Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $79.43 / $144.54	Professional		$56.23	$79.43	$144.54
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $53.70 / $72.44	Professional		$53.70	$53.70	$72.44