Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $59.67 / $69.29 / $129.22	Facility		$59.67	$69.29	$129.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.94 / $74.03 / $104.49	Professional		$58.94	$74.03	$104.49
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $61.00 / $82.04 / $103.60	Professional		$61.00	$82.04	$103.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $94.69 / $94.69	Facility		$80.00	$94.69	$94.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.18 / $98.68 / $164.57	Professional		$65.18	$98.68	$164.57
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $37.54 / $77.81 / $104.37	Professional		$37.54	$77.81	$104.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.20 / $71.89 / $107.91	Professional		$50.20	$71.89	$107.91
United Facility/Professional Professional Modifier Low / Median / High Price $65.53 / $88.97 / $155.22	Professional		$65.53	$88.97	$155.22
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $58.25 / $70.68 / $73.95	Professional		$58.25	$70.68	$73.95