Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.68 / $68.59 / $98.47	Professional		$59.68	$68.59	$98.47
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $94.26 / $94.26 / $103.33	Professional		$94.26	$94.26	$103.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.62 / $81.62 / $116.29	Facility		$81.62	$81.62	$116.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.38 / $81.62 / $107.13	Professional		$69.38	$81.62	$107.13
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $104.83 / $104.83 / $104.83	Facility		$104.83	$104.83	$104.83
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $104.83 / $182.54 / $223.04	Professional		$104.83	$182.54	$223.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $120.02 / $180.03 / $200.04	Professional		$120.02	$180.03	$200.04
United Facility/Professional Professional Modifier Low / Median / High Price $62.28 / $81.17 / $116.35	Professional		$62.28	$81.17	$116.35
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $200.04 / $200.04 / $200.04	Professional		$200.04	$200.04	$200.04