Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $127.90 / $141.75 / $162.40	Facility		$127.90	$141.75	$162.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.61 / $159.00 / $270.32	Professional		$131.61	$159.00	$270.32
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $200.67 / $200.67 / $200.67	Professional		$200.67	$200.67	$200.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $196.21 / $196.21 / $196.21	Facility		$196.21	$196.21	$196.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $143.22 / $143.22 / $196.21	Professional		$143.22	$143.22	$196.21
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $106.96 / $189.58 / $189.58	Facility		$106.96	$189.58	$189.58
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $147.13 / $191.00 / $308.72	Professional		$147.13	$191.00	$308.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.73 / $78.06 / $85.86	Professional		$50.73	$78.06	$85.86
United Facility/Professional Professional Modifier Low / Median / High Price $132.57 / $151.33 / $217.09	Professional		$132.57	$151.33	$217.09
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $78.06 / $78.06 / $181.72	Professional		$78.06	$78.06	$181.72