Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.20 / $92.66 / $132.08	Professional		$80.20	$92.66	$132.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $164.42 / $164.42 / $167.99	Professional		$164.42	$164.42	$167.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $129.12 / $129.12 / $153.94	Facility		$129.12	$129.12	$153.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.75 / $129.12 / $132.99	Professional		$109.75	$129.12	$132.99
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $151.55 / $151.55 / $151.55	Facility		$151.55	$151.55	$151.55
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $125.14 / $171.08 / $219.21	Professional		$125.14	$171.08	$219.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $104.13 / $156.19 / $173.55	Professional		$104.13	$156.19	$173.55
United Facility/Professional Professional Modifier Low / Median / High Price $76.00 / $93.72 / $149.18	Professional		$76.00	$93.72	$149.18
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $173.55 / $173.55 / $173.55	Professional		$173.55	$173.55	$173.55