Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $79.43 / $93.33	Facility		$74.13	$79.43	$93.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $93.33 / $131.83	Professional		$74.13	$93.33	$131.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $134.90 / $134.90	Professional		$134.90	$134.90	$134.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $112.20 / $131.83	Facility		$112.20	$112.20	$131.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $83.18 / $112.20	Professional		$83.18	$83.18	$112.20
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $60.26 / $87.10	Facility		$60.26	$60.26	$87.10
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $107.15 / $177.83	Professional		$39.81	$107.15	$177.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $93.33 / $117.49	Professional		$60.26	$93.33	$117.49
United Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $131.83 / $173.78	Facility		$75.86	$131.83	$173.78
United Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $87.10 / $131.83	Professional		$75.86	$87.10	$131.83
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $93.33 / $177.83	Professional		$93.33	$93.33	$177.83