Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.29 / $114.57 / $150.11	Professional		$92.29	$114.57	$150.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $129.26 / $129.26 / $129.26	Professional		$129.26	$129.26	$129.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $123.59 / $123.59 / $170.42	Facility		$123.59	$123.59	$170.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $105.05 / $123.59 / $155.94	Professional		$105.05	$123.59	$155.94
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $197.64 / $197.64 / $197.64	Facility		$197.64	$197.64	$197.64
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $190.48 / $263.62 / $317.45	Professional		$190.48	$263.62	$317.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $129.50 / $194.25 / $215.84	Professional		$129.50	$194.25	$215.84
United Facility/Professional Professional Modifier Low / Median / High Price $100.84 / $129.01 / $180.52	Professional		$100.84	$129.01	$180.52
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $215.84 / $215.84 / $215.84	Professional		$215.84	$215.84	$215.84