Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.22 / $142.10 / $162.81	Facility		$128.22	$142.10	$162.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.21 / $162.81 / $270.99	Professional		$128.21	$162.81	$270.99
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $159.81 / $184.40 / $309.48	Professional		$159.81	$184.40	$309.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $216.42 / $216.42 / $244.45	Facility		$216.42	$216.42	$244.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $157.99 / $157.99 / $230.72	Professional		$157.99	$157.99	$230.72
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $107.24 / $190.06 / $190.06	Facility		$107.24	$190.06	$190.06
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $147.50 / $191.50 / $309.48	Professional		$147.50	$191.50	$309.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $36.53 / $56.20 / $61.82	Professional		$36.53	$56.20	$61.82
United Facility/Professional Facility Modifier Low / Median / High Price $104.55 / $153.02 / $183.65	Facility		$104.55	$153.02	$183.65
United Facility/Professional Professional Modifier Low / Median / High Price $128.66 / $154.40 / $221.50	Professional		$128.66	$154.40	$221.50
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $56.20 / $56.20 / $185.41	Professional		$56.20	$56.20	$185.41