Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.67 / $121.54 / $139.25	Facility		$109.67	$121.54	$139.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.67 / $130.88 / $231.78	Professional		$109.67	$130.88	$231.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $238.23 / $238.23 / $238.23	Professional		$238.23	$238.23	$238.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $165.40 / $165.40 / $165.40	Facility		$165.40	$165.40	$165.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.74 / $120.74 / $176.33	Professional		$120.74	$120.74	$176.33
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $91.56 / $162.56 / $162.56	Facility		$91.56	$162.56	$162.56
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $126.17 / $163.50 / $264.70	Professional		$126.17	$163.50	$264.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.88 / $93.67 / $103.03	Professional		$60.88	$93.67	$103.03
United Facility/Professional Professional Modifier Low / Median / High Price $113.67 / $132.05 / $189.45	Professional		$113.67	$132.05	$189.45
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $93.67 / $93.67 / $158.59	Professional		$93.67	$93.67	$158.59