Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $1,318.26 / $6,918.31	Facility		$239.88	$1,318.26	$6,918.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $162.18 / $354.81	Professional		$123.03	$162.18	$354.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Professional		$151.36	$151.36	$151.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $109.65 / $245.47	Facility		$34.67	$109.65	$245.47
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $173.78 / $173.78 / $173.78	Facility	54	$173.78	$173.78	$173.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $190.55 / $302.00	Professional		$123.03	$190.55	$302.00
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $2,454.71 / $4,168.69	Facility		$1,513.56	$2,454.71	$4,168.69
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $131.83 / $173.78	Professional		$81.28	$131.83	$173.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $123.03 / $251.19	Professional		$32.36	$123.03	$251.19
United Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $1,584.89 / $4,168.69	Facility		$269.15	$1,584.89	$4,168.69
United Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $151.36 / $275.42	Professional		$107.15	$151.36	$275.42
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $131.83 / $177.83	Professional		$114.82	$131.83	$177.83