Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.48 / $74.78 / $85.68	Facility		$67.48	$74.78	$85.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.48 / $84.53 / $142.61	Professional		$67.48	$84.53	$142.61
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $146.58 / $146.58 / $146.58	Professional		$146.58	$146.58	$146.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $117.36 / $117.36 / $117.36	Facility		$117.36	$117.36	$117.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.67 / $85.67 / $119.84	Professional		$85.67	$85.67	$119.84
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $56.56 / $100.03 / $100.03	Facility		$56.56	$100.03	$100.03
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $101.00 / $162.87	Professional		$77.62	$101.00	$162.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.44 / $46.84 / $51.52	Professional		$30.44	$46.84	$51.52
United Facility/Professional Professional Modifier Low / Median / High Price $63.82 / $81.23 / $108.03	Professional		$63.82	$81.23	$108.03
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $46.84 / $46.84 / $90.43	Professional		$46.84	$46.84	$90.43