Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.45 / $96.91 / $111.03	Facility		$87.45	$96.91	$111.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.88 / $103.49 / $184.82	Professional		$83.88	$103.49	$184.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $137.19 / $137.19 / $189.96	Professional		$137.19	$137.19	$189.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $140.54 / $140.54 / $140.54	Facility		$140.54	$140.54	$140.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.59 / $102.59 / $134.37	Professional		$102.59	$102.59	$134.37
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $63.28 / $129.61 / $129.61	Facility		$63.28	$129.61	$129.61
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $95.17 / $129.61 / $211.07	Professional		$95.17	$129.61	$211.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.11 / $83.26 / $91.58	Professional		$54.11	$83.26	$91.58
United Facility/Professional Professional Modifier Low / Median / High Price $84.48 / $103.12 / $134.22	Professional		$84.48	$103.12	$134.22
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $83.26 / $83.26 / $112.36	Professional		$83.26	$83.26	$112.36