Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $73.70 / $90.67 / $134.61	Facility		$73.70	$90.67	$134.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.15 / $91.30 / $144.72	Professional		$68.15	$91.30	$144.72
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $73.70 / $89.31 / $146.69	Professional		$73.70	$89.31	$146.69
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 $78.89 / $126.55 / $213.57	Professional		$78.89	$126.55	$213.57
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $60.71 / $66.98 / $166.13	Professional		$60.71	$66.98	$166.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $78.33 / $107.71 / $201.89	Professional		$78.33	$107.71	$201.89
United Facility/Professional Professional Modifier Low / Median / High Price $79.80 / $113.60 / $206.30	Professional		$79.80	$113.60	$206.30
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $72.59 / $73.70 / $73.70	Professional		$72.59	$73.70	$73.70