Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $136.66 / $229.68 / $452.38	Facility		$136.66	$229.68	$452.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $136.22 / $136.66 / $157.16	Professional		$136.22	$136.66	$157.16
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $136.22 / $136.22 / $136.22	Professional		$136.22	$136.22	$136.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $128.93 / $136.66 / $139.57	Facility		$128.93	$136.66	$139.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $136.66 / $136.66 / $136.66	Professional		$136.66	$136.66	$136.66
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $136.66 / $136.66 / $136.66	Facility		$136.66	$136.66	$136.66
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $72.20 / $144.40 / $144.40	Professional		$72.20	$144.40	$144.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $64.26 / $70.69 / $102.82	Professional		$64.26	$70.69	$102.82
United Facility/Professional Professional Modifier Low / Median / High Price $136.66 / $144.87 / $152.13	Professional		$136.66	$144.87	$152.13
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $136.22 / $136.22 / $136.66	Professional		$136.22	$136.22	$136.66