Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $110.42 / $122.37 / $140.19	Facility		$110.42	$122.37	$140.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.07 / $140.19 / $233.36	Professional		$109.07	$140.19	$233.36
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $173.23 / $199.88 / $239.86	Professional		$173.23	$199.88	$239.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $175.81 / $175.81 / $184.16	Facility		$175.81	$175.81	$184.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.34 / $128.34 / $191.33	Professional		$128.34	$128.34	$191.33
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $92.40 / $163.66 / $163.66	Facility		$92.40	$163.66	$163.66
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $127.02 / $165.00 / $266.51	Professional		$127.02	$165.00	$266.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $55.13 / $84.83 / $93.31	Professional		$55.13	$84.83	$93.31
United Facility/Professional Professional Modifier Low / Median / High Price $112.69 / $132.96 / $190.75	Professional		$112.69	$132.96	$190.75
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $84.83 / $84.83 / $159.66	Professional		$84.83	$84.83	$159.66