Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.22 / $126.59 / $151.04	Facility		$114.22	$126.59	$151.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.22 / $151.04 / $241.40	Professional		$114.22	$151.04	$241.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $142.36 / $206.76 / $248.11	Professional		$142.36	$206.76	$248.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $142.00 / $142.00 / $146.03	Facility		$142.00	$142.00	$146.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $103.66 / $103.66 / $151.38	Professional		$103.66	$103.66	$151.38
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $99,999.99 / $99,999.99 / $99,999.99	Facility		$99,999.99	$99,999.99	$99,999.99
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $129.46 / $215.77 / $275.68	Professional		$129.46	$215.77	$275.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $83.61 / $125.41 / $139.35	Professional		$83.61	$125.41	$139.35
United Facility/Professional Professional Modifier Low / Median / High Price $115.03 / $137.54 / $191.71	Professional		$115.03	$137.54	$191.71
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $139.35 / $139.35 / $147.88	Professional		$139.35	$139.35	$147.88