Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $128.82 / $263.03	Facility		$95.50	$128.82	$263.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $158.49 / $338.84	Professional		$104.71	$158.49	$338.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $162.18 / $218.78	Professional		$138.04	$162.18	$218.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $190.55 / $190.55	Facility		$104.71	$190.55	$190.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $169.82 / $316.23	Professional		$117.49	$169.82	$316.23
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $138.04 / $199.53	Professional		$70.79	$138.04	$199.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $141.25 / $239.88	Professional		$33.11	$141.25	$239.88
United Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $120.23 / $181.97	Facility		$89.13	$120.23	$181.97
United Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $141.25 / $245.47	Professional		$97.72	$141.25	$245.47
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $125.89 / $165.96	Professional		$93.33	$125.89	$165.96