Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $119.41 / $128.43 / $147.13	Facility		$119.41	$128.43	$147.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $119.41 / $147.13 / $208.17	Professional		$119.41	$147.13	$208.17
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $209.77 / $209.77 / $209.77	Professional		$209.77	$209.77	$209.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $174.77 / $174.77 / $174.77	Facility		$174.77	$174.77	$174.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.58 / $127.58 / $177.04	Professional		$127.58	$127.58	$177.04
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $96.88 / $186.19 / $186.19	Facility		$96.88	$186.19	$186.19
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $133.31 / $186.19 / $279.69	Professional		$133.31	$186.19	$279.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $47.35 / $72.86 / $80.14	Professional		$47.35	$72.86	$80.14
United Facility/Professional Professional Modifier Low / Median / High Price $120.11 / $139.54 / $210.24	Professional		$120.11	$139.54	$210.24
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $72.86 / $72.86 / $169.24	Professional		$72.86	$72.86	$169.24