Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $99.58 / $110.36 / $126.43	Facility		$99.58	$110.36	$126.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.57 / $126.43 / $210.45	Professional		$99.57	$126.43	$210.45
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $156.22 / $180.26 / $180.26	Professional		$156.22	$180.26	$180.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $152.55 / $152.55 / $153.72	Facility		$152.55	$152.55	$153.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $111.36 / $111.36 / $152.55	Professional		$111.36	$111.36	$152.55
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $72.23 / $147.61 / $147.61	Facility		$72.23	$147.61	$147.61
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $150.19 / $240.34	Professional		$109.65	$150.19	$240.34
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 $96.19 / $117.40 / $152.84	Professional		$96.19	$117.40	$152.84
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $83.26 / $83.26 / $127.94	Professional		$83.26	$83.26	$127.94