Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.34 / $83.34 / $111.12	Facility		$83.34	$83.34	$111.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.34 / $104.68 / $123.69	Professional		$73.34	$104.68	$123.69
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $91.78 / $111.97 / $171.86	Professional		$91.78	$111.97	$171.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $124.10 / $124.10 / $124.10	Facility		$124.10	$124.10	$124.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.42 / $96.42 / $96.42	Professional		$96.42	$96.42	$96.42
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $48.01 / $99.53 / $128.77	Professional		$48.01	$99.53	$128.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $76.20 / $106.67 / $174.97	Professional		$76.20	$106.67	$174.97
United Facility/Professional Professional Modifier Low / Median / High Price $82.73 / $113.22 / $190.09	Professional		$82.73	$113.22	$190.09
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $89.44 / $89.44 / $89.44	Professional		$89.44	$89.44	$89.44