Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.85 / $62.22 / $71.29	Facility		$57.85	$62.22	$71.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.85 / $64.98 / $100.87	Professional		$57.85	$64.98	$100.87
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $50.82 / $88.09 / $101.64	Professional		$50.82	$88.09	$101.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.19 / $89.19 / $89.19	Facility		$89.19	$89.19	$89.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.11 / $65.11 / $89.19	Professional		$65.11	$65.11	$89.19
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $47.04 / $90.20 / $90.20	Facility		$47.04	$90.20	$90.20
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $64.58 / $90.20 / $135.52	Professional		$64.58	$90.20	$135.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.11 / $83.26 / $91.58	Professional		$54.11	$83.26	$91.58
United Facility/Professional Professional Modifier Low / Median / High Price $58.19 / $67.61 / $91.11	Professional		$58.19	$67.61	$91.11
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $83.26 / $83.26 / $83.26	Professional		$83.26	$83.26	$83.26