Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $137.32 / $152.18 / $181.58	Facility		$137.32	$152.18	$181.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.50 / $181.58 / $380.68	Professional		$141.50	$181.58	$380.68
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $171.14 / $248.57 / $331.43	Professional		$171.14	$248.57	$331.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $214.16 / $214.16 / $291.73	Facility		$214.16	$214.16	$291.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $156.34 / $156.34 / $214.16	Professional		$156.34	$156.34	$214.16
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $189.04 / $189.04 / $189.04	Facility		$189.04	$189.04	$189.04
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $155.63 / $259.39 / $331.43	Professional		$155.63	$259.39	$331.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $118.96 / $178.44 / $198.27	Professional		$118.96	$178.44	$198.27
United Facility/Professional Facility Modifier Low / Median / High Price $109.87 / $154.24 / $185.12	Facility		$109.87	$154.24	$185.12
United Facility/Professional Professional Modifier Low / Median / High Price $134.28 / $165.35 / $244.15	Professional		$134.28	$165.35	$244.15
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $198.27 / $198.27 / $198.27	Professional		$198.27	$198.27	$198.27