Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.23 / $119.26 / $168.66	Professional		$92.23	$119.26	$168.66
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $141.41 / $194.24 / $254.00	Professional		$141.41	$194.24	$254.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $126.72 / $126.72 / $214.48	Facility		$126.72	$126.72	$214.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.71 / $126.72 / $169.65	Professional		$107.71	$126.72	$169.65
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $215.98 / $215.98 / $215.98	Facility		$215.98	$215.98	$215.98
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $215.98 / $312.35 / $376.16	Professional		$215.98	$312.35	$376.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $160.87 / $241.30 / $268.12	Professional		$160.87	$241.30	$268.12
United Facility/Professional Professional Modifier Low / Median / High Price $119.62 / $153.75 / $217.81	Professional		$119.62	$153.75	$217.81
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $268.12 / $268.12 / $268.12	Professional		$268.12	$268.12	$268.12