Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $109.65 / $109.65	Facility		$109.65	$109.65	$109.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $141.25 / $389.05	Professional		$107.15	$141.25	$389.05
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $158.49 / $223.87	Professional		$114.82	$158.49	$223.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $204.17 / $501.19	Facility		$204.17	$204.17	$501.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $173.78 / $323.59	Professional		$120.23	$173.78	$323.59
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $131.83 / $162.18	Professional		$66.07	$131.83	$162.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $177.83	Professional		$32.36	$33.11	$177.83
United Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $123.03 / $123.03	Facility		$123.03	$123.03	$123.03
United Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $144.54 / $234.42	Professional		$104.71	$144.54	$234.42
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $91.20 / $120.23	Professional		$91.20	$91.20	$120.23