Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $144.02 / $154.88 / $177.45	Facility		$144.02	$154.88	$177.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.46 / $177.45 / $251.06	Professional		$144.46	$177.45	$251.06
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $219.26 / $219.26 / $219.26	Professional		$219.26	$219.26	$219.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $221.07 / $221.07 / $221.07	Facility		$221.07	$221.07	$221.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $161.38 / $161.38 / $221.07	Professional		$161.38	$161.38	$221.07
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $116.76 / $224.57 / $224.57	Facility		$116.76	$224.57	$224.57
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $160.75 / $224.57 / $337.33	Professional		$160.75	$224.57	$337.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $113.65 / $174.86 / $192.34	Professional		$113.65	$174.86	$192.34
United Facility/Professional Professional Modifier Low / Median / High Price $144.86 / $168.29 / $239.30	Professional		$144.86	$168.29	$239.30
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $174.86 / $174.86 / $192.64	Professional		$174.86	$174.86	$192.64