Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.48 / $109.48 / $145.13	Facility		$109.48	$109.48	$145.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.61 / $119.97 / $176.48	Professional		$103.61	$119.97	$176.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $129.97 / $209.15 / $457.44	Professional		$129.97	$209.15	$457.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $152.16 / $152.16 / $500.00	Facility		$152.16	$152.16	$500.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.49 / $173.22 / $323.08	Professional		$116.49	$173.22	$323.08
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $60.93 / $130.77 / $161.03	Professional		$60.93	$130.77	$161.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $102.08 / $142.25 / $255.47	Professional		$102.08	$142.25	$255.47
United Facility/Professional Professional Modifier Low / Median / High Price $104.84 / $142.74 / $240.26	Professional		$104.84	$142.74	$240.26
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $91.90 / $91.90 / $108.22	Professional		$91.90	$91.90	$108.22