Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.12 / $54.44 / $62.36	Facility		$49.12	$54.44	$62.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.10 / $60.59 / $103.82	Professional		$47.10	$60.59	$103.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $77.06 / $88.92 / $118.56	Professional		$77.06	$88.92	$118.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.81 / $65.81 / $81.92	Facility		$65.81	$65.81	$81.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.04 / $48.04 / $71.19	Professional		$48.04	$48.04	$71.19
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $44.36 / $72.80 / $72.80	Facility		$44.36	$72.80	$72.80
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $63.37 / $79.20 / $118.56	Professional		$63.37	$79.20	$118.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $35.36 / $54.40 / $59.84	Professional		$35.36	$54.40	$59.84
United Facility/Professional Facility Modifier Low / Median / High Price $140.44 / $140.44 / $140.44	Facility		$140.44	$140.44	$140.44
United Facility/Professional Professional Modifier Low / Median / High Price $46.31 / $57.91 / $75.39	Professional		$46.31	$57.91	$75.39
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $54.40 / $54.40 / $63.10	Professional		$54.40	$54.40	$63.10