Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.90 / $153.90 / $275.37	Facility		$131.90	$153.90	$275.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $126.48 / $165.76 / $278.76	Professional		$126.48	$165.76	$278.76
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $318.35 / $318.35 / $318.35	Professional		$318.35	$318.35	$318.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $176.75 / $176.75 / $180.09	Facility		$176.75	$176.75	$180.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $129.03 / $129.03 / $188.42	Professional		$129.03	$129.03	$188.42
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $110.30 / $148.88 / $195.49	Facility		$110.30	$148.88	$195.49
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $170.16 / $212.70 / $318.35	Professional		$170.16	$212.70	$318.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $254.68 / $254.68 / $254.68	Professional		$254.68	$254.68	$254.68
United Facility/Professional Professional Modifier Low / Median / High Price $124.36 / $155.50 / $202.44	Professional		$124.36	$155.50	$202.44
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $171.10 / $171.10 / $318.35	Professional		$171.10	$171.10	$318.35