Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $65.40 / $72.48 / $83.05	Facility		$65.40	$72.48	$83.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.70 / $76.29 / $138.21	Professional		$62.70	$76.29	$138.21
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $102.60 / $102.60 / $732.41	Professional		$102.60	$102.60	$732.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $99.06 / $99.06 / $99.06	Facility		$99.06	$99.06	$99.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.31 / $72.31 / $99.36	Professional		$72.31	$72.31	$99.36
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $96.96 / $96.96 / $96.96	Facility		$96.96	$96.96	$96.96
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $84.38 / $105.48 / $157.84	Professional		$84.38	$105.48	$157.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.46 / $16.10 / $17.71	Professional		$10.46	$16.10	$17.71
United Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $77.12 / $100.37	Professional		$61.66	$77.12	$100.37
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $16.10 / $16.10 / $84.01	Professional		$16.10	$16.10	$84.01