Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.03 / $166.60 / $291.72	Facility		$93.03	$166.60	$291.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.66 / $93.03 / $95.27	Professional		$89.66	$93.03	$95.27
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $67.25 / $67.25 / $170.40	Professional		$67.25	$67.25	$170.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.27 / $95.27 / $257.31	Facility		$95.27	$95.27	$257.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.27 / $95.27 / $95.27	Professional		$95.27	$95.27	$95.27
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $64.75 / $67.34 / $67.34	Facility		$64.75	$67.34	$67.34
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $60.79 / $114.00 / $121.57	Professional		$60.79	$114.00	$121.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $40.00 / $40.00	Professional		$40.00	$40.00	$40.00
United Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $103.11	Professional		$100.00	$100.00	$103.11
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $109.30 / $109.30 / $109.30	Professional		$109.30	$109.30	$109.30