Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $71.86 / $85.41 / $89.20	Facility		$71.86	$85.41	$89.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.33 / $85.41 / $126.90	Professional		$74.33	$85.41	$126.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $146.91 / $146.91 / $146.91	Professional		$146.91	$146.91	$146.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $123.50 / $123.50 / $134.41	Facility		$123.50	$123.50	$134.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.98 / $123.50 / $132.29	Professional		$104.98	$123.50	$132.29
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $88.20 / $130.51 / $174.38	Facility		$88.20	$130.51	$174.38
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $92.69 / $154.47 / $180.00	Professional		$92.69	$154.47	$180.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $78.06 / $104.08 / $130.10	Professional		$78.06	$104.08	$130.10
United Facility/Professional Professional Modifier Low / Median / High Price $78.36 / $93.47 / $141.55	Professional		$78.36	$93.47	$141.55
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $130.10 / $130.10 / $130.10	Professional		$130.10	$130.10	$130.10