Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $99.29 / $99.29 / $132.37	Facility		$99.29	$99.29	$132.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.16 / $110.31 / $183.88	Professional		$94.16	$110.31	$183.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $118.01 / $158.55 / $429.00	Professional		$118.01	$158.55	$429.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $138.29 / $138.29 / $500.00	Facility		$138.29	$138.29	$500.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.32 / $157.26 / $285.18	Professional		$104.32	$157.26	$285.18
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $54.04 / $115.98 / $142.33	Professional		$54.04	$115.98	$142.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $101.95 / $141.49 / $255.47	Professional		$101.95	$141.49	$255.47
United Facility/Professional Facility Modifier Low / Median / High Price $267.20 / $267.20 / $267.20	Facility		$267.20	$267.20	$267.20
United Facility/Professional Professional Modifier Low / Median / High Price $95.28 / $129.68 / $217.97	Professional		$95.28	$129.68	$217.97
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $81.73 / $81.73 / $98.28	Professional		$81.73	$81.73	$98.28