Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $65.59 / $72.70 / $83.29	Facility		$65.59	$72.70	$83.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.88 / $77.63 / $138.63	Professional		$62.88	$77.63	$138.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $102.91 / $130.59 / $734.52	Professional		$102.91	$130.59	$734.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $88.85 / $88.85 / $88.85	Facility		$88.85	$88.85	$88.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.86 / $64.86 / $94.72	Professional		$64.86	$64.86	$94.72
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $54.88 / $97.23 / $97.23	Facility		$54.88	$97.23	$97.23
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $71.39 / $98.00 / $158.32	Professional		$71.39	$98.00	$158.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.05 / $83.16 / $91.47	Professional		$54.05	$83.16	$91.47
United Facility/Professional Professional Modifier Low / Median / High Price $62.63 / $77.34 / $100.65	Professional		$62.63	$77.34	$100.65
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $83.16 / $83.16 / $84.25	Professional		$83.16	$83.16	$84.25