Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $94.82 / $123.67 / $466.89	Facility		$94.82	$123.67	$466.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.84 / $128.40 / $244.04	Professional		$89.84	$128.40	$244.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $117.86 / $148.84 / $190.46	Professional		$117.86	$148.84	$190.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $152.08 / $152.08 / $152.08	Facility		$152.08	$152.08	$152.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $103.06 / $157.81 / $273.11	Professional		$103.06	$157.81	$273.11
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $56.06 / $119.07 / $165.14	Professional		$56.06	$119.07	$165.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $87.89 / $136.56 / $189.31	Professional		$87.89	$136.56	$189.31
United Facility/Professional Professional Modifier Low / Median / High Price $106.78 / $146.16 / $253.78	Professional		$106.78	$146.16	$253.78
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $86.55 / $114.64 / $123.96	Professional		$86.55	$114.64	$123.96