Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.31 / $106.98 / $155.46	Facility		$81.31	$106.98	$155.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.67 / $114.73 / $224.44	Professional		$80.67	$114.73	$224.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $113.45 / $133.47 / $180.63	Professional		$113.45	$133.47	$180.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $130.94 / $130.94 / $130.94	Facility		$130.94	$130.94	$130.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.10 / $138.57 / $243.10	Professional		$91.10	$138.57	$243.10
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $50.58 / $106.78 / $150.50	Professional		$50.58	$106.78	$150.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $77.53 / $123.10 / $169.90	Professional		$77.53	$123.10	$169.90
United Facility/Professional Professional Modifier Low / Median / High Price $94.65 / $130.34 / $226.72	Professional		$94.65	$130.34	$226.72
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $74.55 / $102.90 / $111.26	Professional		$74.55	$102.90	$111.26