Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $151.36 / $363.08	Professional		$97.72	$151.36	$363.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $114.82 / $213.80	Professional		$102.33	$114.82	$213.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $186.21 / $501.19	Facility		$186.21	$186.21	$501.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $158.49 / $288.40	Professional		$107.15	$158.49	$288.40
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $117.49 / $147.91	Professional		$57.54	$117.49	$147.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $158.49	Professional		$32.36	$33.11	$158.49
United Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $107.15 / $107.15	Facility		$107.15	$107.15	$107.15
United Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $128.82 / $213.80	Professional		$95.50	$128.82	$213.80
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $109.65	Professional		$81.28	$81.28	$109.65