Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.19 / $94.32 / $180.60	Facility		$69.19	$94.32	$180.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.83 / $94.32 / $163.03	Professional		$64.83	$94.32	$163.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $86.00 / $113.55 / $136.26	Professional		$86.00	$113.55	$136.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $110.81 / $110.81 / $110.81	Facility		$110.81	$110.81	$110.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.38 / $119.89 / $214.00	Professional		$75.38	$119.89	$214.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $43.29 / $93.87 / $129.63	Professional		$43.29	$93.87	$129.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.74 / $97.13 / $163.15	Professional		$65.74	$97.13	$163.15
United Facility/Professional Professional Modifier Low / Median / High Price $83.84 / $116.08 / $199.86	Professional		$83.84	$116.08	$199.86
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $58.83 / $75.16 / $100.16	Professional		$58.83	$75.16	$100.16