Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $141.25 / $162.18	Facility		$131.83	$141.25	$162.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $162.18 / $234.42	Professional		$131.83	$162.18	$234.42
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $234.42 / $234.42	Professional		$234.42	$234.42	$234.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $263.03 / $263.03	Facility		$263.03	$263.03	$263.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $194.98 / $263.03	Professional		$194.98	$194.98	$263.03
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $107.15 / $151.36	Facility		$107.15	$107.15	$151.36
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $190.55 / $316.23	Professional		$69.18	$190.55	$316.23
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 $138.04 / $229.09 / $309.03	Facility		$138.04	$229.09	$309.03
United Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $154.88 / $229.09	Professional		$131.83	$154.88	$229.09
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $83.18 / $316.23	Professional		$83.18	$83.18	$316.23