Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $65.31 / $90.71 / $174.11	Facility		$65.31	$90.71	$174.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.08 / $90.70 / $149.78	Professional		$64.08	$90.70	$149.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $109.41 / $113.65 / $149.40	Professional		$109.41	$113.65	$149.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $104.52 / $104.52 / $104.52	Facility		$104.52	$104.52	$104.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.22 / $116.67 / $205.00	Professional		$73.22	$116.67	$205.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $43.44 / $92.11 / $125.66	Professional		$43.44	$92.11	$125.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $62.65 / $104.90 / $165.46	Professional		$62.65	$104.90	$165.46
United Facility/Professional Professional Modifier Low / Median / High Price $80.95 / $111.16 / $188.92	Professional		$80.95	$111.16	$188.92
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $56.96 / $71.47 / $100.16	Professional		$56.96	$71.47	$100.16