Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $116.52 / $116.52 / $153.79	Facility		$116.52	$116.52	$153.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.25 / $127.59 / $202.73	Professional		$111.25	$127.59	$202.73
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $137.87 / $188.97 / $503.59	Professional		$137.87	$188.97	$503.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $162.16 / $162.16 / $422.57	Facility		$162.16	$162.16	$422.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $122.66 / $185.12 / $336.64	Professional		$122.66	$185.12	$336.64
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $65.28 / $138.69 / $171.96	Professional		$65.28	$138.69	$171.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $103.45 / $142.25 / $256.94	Professional		$103.45	$142.25	$256.94
United Facility/Professional Facility Modifier Low / Median / High Price $190.91 / $190.91 / $190.91	Facility		$190.91	$190.91	$190.91
United Facility/Professional Professional Modifier Low / Median / High Price $111.79 / $149.80 / $249.00	Professional		$111.79	$149.80	$249.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $106.98 / $106.98 / $115.67	Professional		$106.98	$106.98	$115.67