Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.28 / $124.49 / $143.85	Facility		$100.28	$124.49	$143.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.74 / $143.10 / $178.56	Professional		$103.74	$143.10	$178.56
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $13.50 / $252.00 / $252.00	Professional		$13.50	$252.00	$252.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.00 / $147.10 / $147.10	Facility		$64.00	$147.10	$147.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.38 / $125.04 / $125.04	Professional		$107.38	$125.04	$125.04
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $191.81 / $191.81 / $209.56	Professional		$191.81	$191.81	$209.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.93 / $41.34 / $51.67	Professional		$28.93	$41.34	$51.67
United Facility/Professional Professional Modifier Low / Median / High Price $11.78 / $16.86 / $29.97	Professional		$11.78	$16.86	$29.97
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $164.86 / $164.86 / $164.86	Professional		$164.86	$164.86	$164.86