Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $61.66 / $70.79	Facility		$57.54	$61.66	$70.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $70.79 / $100.00	Professional		$57.54	$70.79	$100.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $104.71 / $123.03	Professional		$75.86	$104.71	$123.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $89.13 / $102.33	Facility		$89.13	$89.13	$102.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $64.57 / $89.13	Professional		$64.57	$64.57	$89.13
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $46.77 / $67.61	Facility		$46.77	$46.77	$67.61
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $83.18 / $138.04	Professional		$30.90	$83.18	$138.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $83.18 / $104.71	Professional		$53.70	$83.18	$104.71
United Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $91.20 / $134.90	Facility		$54.95	$91.20	$134.90
United Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $67.61 / $91.20	Professional		$57.54	$67.61	$91.20
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $83.18 / $138.04	Professional		$83.18	$83.18	$138.04