Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $103.32 / $103.32 / $103.32	Facility		$103.32	$103.32	$103.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.19 / $126.25 / $170.67	Professional		$93.19	$126.25	$170.67
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $108.03 / $171.57 / $254.18	Professional		$108.03	$171.57	$254.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $149.41 / $149.41 / $149.41	Facility		$149.41	$149.41	$149.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $115.76 / $115.76 / $115.76	Professional		$115.76	$115.76	$115.76
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $63.07 / $141.82 / $260.18	Professional		$63.07	$141.82	$260.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $109.92 / $149.79 / $266.65	Professional		$109.92	$149.79	$266.65
United Facility/Professional Professional Modifier Low / Median / High Price $105.52 / $143.81 / $273.58	Professional		$105.52	$143.81	$273.58
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $107.39 / $107.39 / $107.39	Professional		$107.39	$107.39	$107.39