Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.89 / $103.28 / $197.34	Facility		$77.89	$103.28	$197.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.29 / $107.18 / $202.16	Professional		$73.29	$107.18	$202.16
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $105.84 / $130.56 / $170.21	Professional		$105.84	$130.56	$170.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $125.60 / $125.60 / $125.60	Facility		$125.60	$125.60	$125.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.08 / $133.04 / $234.37	Professional		$85.08	$133.04	$234.37
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $47.74 / $102.29 / $143.19	Professional		$47.74	$102.29	$143.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.73 / $109.53 / $165.04	Professional		$72.73	$109.53	$165.04
United Facility/Professional Professional Modifier Low / Median / High Price $91.41 / $126.51 / $222.00	Professional		$91.41	$126.51	$222.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $71.48 / $95.13 / $107.67	Professional		$71.48	$95.13	$107.67