Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $60.26 / $69.18	Facility		$56.23	$60.26	$69.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $70.79 / $114.82	Professional		$54.95	$70.79	$114.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $104.71	Professional		$100.00	$100.00	$104.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $107.15 / $107.15	Facility		$107.15	$107.15	$107.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $77.62 / $107.15	Professional		$77.62	$77.62	$107.15
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $45.71 / $66.07	Facility		$45.71	$45.71	$66.07
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $81.28 / $134.90	Professional		$30.20	$81.28	$134.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $20.89 / $26.30	Professional		$13.49	$20.89	$26.30
United Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $69.18 / $134.90	Facility		$51.29	$69.18	$134.90
United Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $66.07 / $95.50	Professional		$51.29	$66.07	$95.50
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $20.89 / $134.90	Professional		$20.89	$20.89	$134.90