Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.57 / $95.57 / $127.67	Facility		$95.57	$95.57	$127.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.50 / $103.58 / $165.46	Professional		$90.50	$103.58	$165.46
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $111.68 / $139.60 / $411.58	Professional		$111.68	$139.60	$411.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $132.90 / $132.90 / $500.00	Facility		$132.90	$132.90	$500.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.48 / $150.46 / $273.99	Professional		$100.48	$150.46	$273.99
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $52.06 / $111.74 / $137.16	Professional		$52.06	$111.74	$137.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $77.32 / $106.67 / $193.30	Professional		$77.32	$106.67	$193.30
United Facility/Professional Professional Modifier Low / Median / High Price $91.88 / $123.61 / $203.73	Professional		$91.88	$123.61	$203.73
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $78.95 / $78.95 / $94.69	Professional		$78.95	$78.95	$94.69