Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $122.14 / $135.35 / $155.07	Facility		$122.14	$135.35	$155.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $122.14 / $145.75 / $258.12	Professional		$122.14	$145.75	$258.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $191.61 / $210.77 / $265.30	Professional		$191.61	$210.77	$265.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $190.69 / $190.69 / $190.69	Facility		$190.69	$190.69	$190.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $139.19 / $139.19 / $190.69	Professional		$139.19	$139.19	$190.69
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $102.20 / $181.02 / $181.02	Facility		$102.20	$181.02	$181.02
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $140.50 / $182.50 / $294.77	Professional		$140.50	$182.50	$294.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $31.79 / $48.92 / $53.81	Professional		$31.79	$48.92	$53.81
United Facility/Professional Professional Modifier Low / Median / High Price $126.59 / $147.07 / $210.98	Professional		$126.59	$147.07	$210.98
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $48.92 / $48.92 / $176.68	Professional		$48.92	$48.92	$176.68