Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $354.81 / $851.14	Facility		$74.13	$354.81	$851.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $85.11 / $524.81	Professional		$81.28	$85.11	$524.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $93.33 / $169.82	Professional		$61.66	$93.33	$169.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $87.10 / $162.18	Facility		$87.10	$87.10	$162.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $87.10 / $87.10	Professional		$87.10	$87.10	$87.10
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $70.79 / $87.10	Facility		$67.61	$70.79	$87.10
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $125.89 / $125.89	Professional		$87.10	$125.89	$125.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $177.83 / $234.42	Professional		$134.90	$177.83	$234.42
United Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $190.55 / $263.03	Facility		$85.11	$190.55	$263.03
United Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $85.11 / $87.10	Professional		$85.11	$85.11	$87.10
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $131.83 / $131.83	Professional		$125.89	$131.83	$131.83