Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $60.26	Professional		$60.26	$60.26	$60.26
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $125.89 / $158.49	Professional		$95.50	$125.89	$158.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $109.65 / $144.54	Facility		$89.13	$109.65	$144.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $120.23 / $131.83	Professional		$89.13	$120.23	$131.83
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $117.49 / $165.96	Facility		$117.49	$117.49	$165.96
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $112.20 / $199.53	Professional		$77.62	$112.20	$199.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $2,754.23 / $2,754.23	Professional		$2,754.23	$2,754.23	$2,754.23
United Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $100.00 / $169.82	Professional		$39.81	$100.00	$169.82
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $107.15 / $107.15	Professional		$107.15	$107.15	$107.15