Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $117.49 / $141.25	Facility		$89.13	$117.49	$141.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $93.33 / $251.19	Professional		$69.18	$93.33	$251.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $93.33 / $147.91	Professional		$75.86	$93.33	$147.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $134.90 / $134.90	Facility		$134.90	$134.90	$134.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $125.89 / $213.80	Professional		$77.62	$125.89	$213.80
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $69.18 / $165.96	Professional		$64.57	$69.18	$165.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $104.71	Professional		$32.36	$33.11	$104.71
United Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $114.82 / $208.93	Professional		$79.43	$114.82	$208.93
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $74.13 / $91.20	Professional		$72.44	$74.13	$91.20