Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $82.15 / $121.09 / $164.80	Facility		$82.15	$121.09	$164.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.36 / $125.66 / $194.56	Professional		$85.36	$125.66	$194.56
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $93.79 / $120.80 / $175.75	Professional		$93.79	$120.80	$175.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $113.69 / $113.69 / $113.69	Facility		$113.69	$113.69	$113.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.20 / $138.60 / $231.39	Professional		$92.20	$138.60	$231.39
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.89 / $113.83	Professional		$50.00	$70.89	$113.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $78.33 / $107.70 / $200.65	Professional		$78.33	$107.70	$200.65
United Facility/Professional Professional Modifier Low / Median / High Price $84.52 / $119.67 / $215.82	Professional		$84.52	$119.67	$215.82
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $75.83 / $75.83 / $75.83	Professional		$75.83	$75.83	$75.83