Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $91.20 / $104.71	Facility		$85.11	$91.20	$104.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $102.33 / $147.91	Professional		$85.11	$102.33	$147.91
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $147.91 / $204.17	Professional		$147.91	$147.91	$204.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $120.23 / $223.87	Facility		$120.23	$120.23	$223.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $87.10 / $120.23	Professional		$87.10	$87.10	$120.23
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $123.03 / $204.17	Professional		$44.67	$123.03	$204.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $177.83 / $204.17	Professional		$114.82	$177.83	$204.17
United Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $134.90 / $199.53	Facility		$79.43	$134.90	$199.53
United Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $100.00 / $147.91	Professional		$85.11	$100.00	$147.91
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $177.83 / $204.17	Professional		$138.04	$177.83	$204.17