Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $106.56 / $122.54 / $228.06	Facility		$106.56	$122.54	$228.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.56 / $131.29 / $218.55	Professional		$106.56	$131.29	$218.55
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $187.19 / $187.19 / $187.19	Professional		$187.19	$187.19	$187.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $185.61 / $185.61 / $185.61	Facility		$185.61	$185.61	$185.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $135.50 / $135.50 / $185.61	Professional		$135.50	$135.50	$185.61
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $86.52 / $153.27 / $153.27	Facility		$86.52	$153.27	$153.27
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $118.96 / $154.50 / $249.59	Professional		$118.96	$154.50	$249.59
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 Facility Modifier Low / Median / High Price $195.26 / $195.26 / $195.26	Facility		$195.26	$195.26	$195.26
United Facility/Professional Professional Modifier Low / Median / High Price $105.53 / $124.52 / $178.63	Professional		$105.53	$124.52	$178.63
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $48.92 / $48.92 / $149.53	Professional		$48.92	$48.92	$149.53