Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.52 / $152.18 / $174.35	Facility		$64.52	$152.18	$174.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $137.32 / $174.35 / $290.20	Professional		$137.32	$174.35	$290.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $124.29 / $248.57 / $248.57	Professional		$124.29	$248.57	$248.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $184.69 / $194.92 / $194.92	Facility		$184.69	$194.92	$194.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $142.29 / $142.29 / $197.46	Professional		$142.29	$142.29	$197.46
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $114.80 / $200.42 / $200.42	Facility		$114.80	$200.42	$200.42
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $149.44 / $205.00 / $331.43	Professional		$149.44	$205.00	$331.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $128.87 / $198.27 / $218.09	Professional		$128.87	$198.27	$218.09
United Facility/Professional Professional Modifier Low / Median / High Price $140.51 / $163.87 / $223.26	Professional		$140.51	$163.87	$223.26
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $198.27 / $198.27 / $198.27	Professional		$198.27	$198.27	$198.27