Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.15 / $150.26 / $201.69	Facility		$120.15	$150.26	$201.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.15 / $169.93 / $233.33	Professional		$120.15	$169.93	$233.33
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $173.21 / $173.21 / $239.82	Professional		$173.21	$173.21	$239.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $168.66 / $178.39 / $178.39	Facility		$168.66	$178.39	$178.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $130.22 / $130.22 / $183.74	Professional		$130.22	$130.22	$183.74
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $172.13 / $172.13 / $172.13	Facility		$172.13	$172.13	$172.13
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $120.15 / $172.13 / $266.47	Professional		$120.15	$172.13	$266.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $105.45 / $162.24 / $178.46	Professional		$105.45	$162.24	$178.46
United Facility/Professional Professional Modifier Low / Median / High Price $104.09 / $132.94 / $200.05	Professional		$104.09	$132.94	$200.05
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $162.24 / $162.24 / $169.25	Professional		$162.24	$162.24	$169.25