Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $64.57 / $72.44	Facility		$52.48	$64.57	$72.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $70.79 / $128.82	Professional		$57.54	$70.79	$128.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $120.23 / $120.23	Professional		$120.23	$120.23	$120.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $83.18 / $83.18	Facility		$83.18	$83.18	$83.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $61.66 / $83.18	Professional		$61.66	$61.66	$83.18
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $91.20 / $151.36	Professional		$91.20	$91.20	$151.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $117.49 / $120.23	Professional		$117.49	$117.49	$120.23
United Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $67.61 / $117.49	Facility		$51.29	$67.61	$117.49
United Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $74.13 / $102.33	Professional		$57.54	$74.13	$102.33
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $44.67 / $151.36	Professional		$44.67	$44.67	$151.36