Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $59.83 / $61.38 / $107.82	Facility		$59.83	$61.38	$107.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.69 / $69.38 / $178.36	Professional		$56.69	$69.38	$178.36
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $74.55 / $97.08 / $256.58	Professional		$74.55	$97.08	$256.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $82.84 / $82.84 / $82.84	Facility		$82.84	$82.84	$82.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.68 / $93.50 / $154.76	Professional		$64.68	$93.50	$154.76
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $48.78 / $53.76 / $81.37	Professional		$48.78	$53.76	$81.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $76.31 / $106.60 / $200.93	Professional		$76.31	$106.60	$200.93
United Facility/Professional Professional Modifier Low / Median / High Price $55.27 / $78.12 / $138.40	Professional		$55.27	$78.12	$138.40
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $54.64 / $54.64 / $54.64	Professional		$54.64	$54.64	$54.64