Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.84 / $93.46 / $130.32	Professional		$77.84	$93.46	$130.32
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $167.24 / $167.24 / $167.95	Professional		$167.24	$167.24	$167.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $110.00 / $110.00 / $153.76	Facility		$110.00	$110.00	$153.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.50 / $93.50 / $110.00	Professional		$93.50	$93.50	$110.00
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $154.80 / $154.80 / $154.80	Facility		$154.80	$154.80	$154.80
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $127.84 / $154.80 / $223.94	Professional		$127.84	$154.80	$223.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $106.43 / $159.65 / $177.39	Professional		$106.43	$159.65	$177.39
United Facility/Professional Professional Modifier Low / Median / High Price $69.65 / $85.89 / $154.91	Professional		$69.65	$85.89	$154.91
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $177.39 / $177.39 / $177.39	Professional		$177.39	$177.39	$177.39