Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $134.36 / $148.90 / $170.59	Facility		$134.36	$148.90	$170.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.49 / $148.90 / $249.31	Professional		$104.49	$148.90	$249.31
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $256.12 / $256.12 / $256.12	Professional		$256.12	$256.12	$256.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $214.95 / $214.95 / $214.95	Facility		$214.95	$214.95	$214.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $156.91 / $156.91 / $217.27	Professional		$156.91	$156.91	$217.27
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $112.28 / $199.14 / $199.14	Facility		$112.28	$199.14	$199.14
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $146.93 / $200.50 / $247.07	Professional		$146.93	$200.50	$247.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $94.03 / $144.66 / $159.13	Professional		$94.03	$144.66	$159.13
United Facility/Professional Professional Modifier Low / Median / High Price $139.25 / $161.78 / $232.09	Professional		$139.25	$161.78	$232.09
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $144.66 / $144.66 / $194.27	Professional		$144.66	$144.66	$194.27