Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.11 / $80.77 / $159.05	Facility		$75.11	$80.77	$159.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.62 / $79.98 / $130.93	Professional		$67.62	$79.98	$130.93
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $85.75 / $85.75 / $131.93	Professional		$85.75	$85.75	$131.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $126.00 / $128.85 / $128.85	Facility		$126.00	$128.85	$128.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.52 / $109.52 / $128.85	Professional		$109.52	$109.52	$128.85
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $61.04 / $101.00 / $101.00	Facility		$61.04	$101.00	$101.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $83.85 / $109.00 / $175.90	Professional		$83.85	$109.00	$175.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $81.18 / $124.90 / $137.38	Professional		$81.18	$124.90	$137.38
United Facility/Professional Professional Modifier Low / Median / High Price $72.34 / $87.76 / $108.98	Professional		$72.34	$87.76	$108.98
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $124.90 / $124.90 / $124.90	Professional		$124.90	$124.90	$124.90