Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $113.35 / $125.62 / $143.93	Facility		$113.35	$125.62	$143.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.35 / $143.93 / $239.57	Professional		$113.35	$143.93	$239.57
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $246.24 / $246.24 / $246.24	Professional		$246.24	$246.24	$246.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $170.96 / $170.96 / $170.96	Facility		$170.96	$170.96	$170.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $124.80 / $124.80 / $170.96	Professional		$124.80	$124.80	$170.96
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $94.64 / $99,999.99 / $99,999.99	Facility		$94.64	$99,999.99	$99,999.99
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $123.37 / $192.28 / $273.60	Professional		$123.37	$192.28	$273.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $74.58 / $114.75 / $126.22	Professional		$74.58	$114.75	$126.22
United Facility/Professional Professional Modifier Low / Median / High Price $113.75 / $136.49 / $195.82	Professional		$113.75	$136.49	$195.82
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $114.75 / $114.75 / $163.91	Professional		$114.75	$114.75	$163.91