Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.25 / $72.51 / $97.63	Facility		$38.25	$72.51	$97.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.16 / $72.51 / $138.28	Professional		$44.16	$72.51	$138.28
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $102.65 / $118.44 / $157.91	Professional		$102.65	$118.44	$157.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $86.64 / $86.64 / $91.83	Facility		$86.64	$86.64	$91.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.25 / $63.25 / $91.83	Professional		$63.25	$63.25	$91.83
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $96.98 / $96.98 / $96.98	Facility		$96.98	$96.98	$96.98
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $94.75 / $120.35 / $157.91	Professional		$94.75	$120.35	$157.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.59 / $62.45 / $68.69	Professional		$40.59	$62.45	$68.69
United Facility/Professional Professional Modifier Low / Median / High Price $56.21 / $75.50 / $89.23	Professional		$56.21	$75.50	$89.23
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $62.45 / $62.45 / $83.20	Professional		$62.45	$62.45	$83.20