Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $62.04 / $112.60 / $138.40	Facility		$62.04	$112.60	$138.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.61 / $118.60 / $171.56	Professional		$69.61	$118.60	$171.56
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $121.17 / $145.22	Professional		$100.00	$121.17	$145.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $125.77 / $125.77 / $125.77	Facility		$125.77	$125.77	$125.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.61 / $144.29 / $288.42	Professional		$85.61	$144.29	$288.42
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $99.67 / $106.79 / $138.34	Professional		$99.67	$106.79	$138.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $104.63 / $150.60 / $201.32	Professional		$104.63	$150.60	$201.32
United Facility/Professional Professional Modifier Low / Median / High Price $113.10 / $156.91 / $276.39	Professional		$113.10	$156.91	$276.39
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $59.79 / $97.10 / $123.96	Professional		$59.79	$97.10	$123.96