Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $84.25 / $93.36 / $158.35	Facility		$84.25	$93.36	$158.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.76 / $103.92 / $178.05	Professional		$80.76	$103.92	$178.05
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $152.51 / $152.51 / $183.01	Professional		$152.51	$152.51	$183.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.67 / $112.67 / $112.67	Facility		$112.67	$112.67	$112.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.25 / $82.25 / $120.11	Professional		$82.25	$82.25	$120.11
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $70.56 / $124.88 / $141.28	Facility		$70.56	$124.88	$141.28
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $102.63 / $126.00 / $203.34	Professional		$102.63	$126.00	$203.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $69.46 / $106.87 / $117.55	Professional		$69.46	$106.87	$117.55
United Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $99.32 / $129.05	Professional		$79.43	$99.32	$129.05
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $106.87 / $106.87 / $108.03	Professional		$106.87	$106.87	$108.03