Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $65.55 / $70.50 / $80.77	Facility		$65.55	$70.50	$80.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.55 / $80.77 / $114.27	Professional		$65.55	$80.77	$114.27
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $57.58 / $115.16 / $115.16	Professional		$57.58	$115.16	$115.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $99.32 / $99.32 / $99.32	Facility		$99.32	$99.32	$99.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.50 / $72.50 / $99.32	Professional		$72.50	$72.50	$99.32
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $53.20 / $102.22 / $102.22	Facility		$53.20	$102.22	$102.22
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $73.18 / $102.22 / $153.54	Professional		$73.18	$102.22	$153.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.44 / $46.84 / $51.52	Professional		$30.44	$46.84	$51.52
United Facility/Professional Professional Modifier Low / Median / High Price $65.93 / $76.59 / $115.39	Professional		$65.93	$76.59	$115.39
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $46.84 / $46.84 / $92.91	Professional		$46.84	$46.84	$92.91