Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $223.87 / $977.24	Facility		$120.23	$223.87	$977.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $144.54 / $204.17	Professional		$117.49	$144.54	$204.17
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $204.17 / $263.03	Professional		$204.17	$204.17	$263.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $169.82 / $295.12	Facility		$169.82	$169.82	$295.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $125.89 / $169.82	Professional		$125.89	$125.89	$169.82
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $117.49 / $169.82	Facility		$117.49	$117.49	$169.82
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $165.96 / $281.84	Professional		$61.66	$165.96	$281.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $144.54 / $165.96	Professional		$95.50	$144.54	$165.96
United Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $181.97 / $275.42	Facility		$109.65	$181.97	$275.42
United Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $138.04 / $204.17	Professional		$117.49	$138.04	$204.17
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $144.54 / $281.84	Professional		$144.54	$144.54	$281.84