Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $2,344.23 / $7,943.28	Facility		$338.84	$2,344.23	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $173.78 / $416.87	Professional		$77.62	$173.78	$416.87
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $79.43 / $120.23	Professional		$66.07	$79.43	$120.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $141.25 / $562.34	Facility		$34.67	$141.25	$562.34
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $28.18 / $28.18 / $28.18	Facility	53	$28.18	$28.18	$28.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $169.82 / $363.08	Professional		$89.13	$169.82	$363.08
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $229.09 / $234.42	Facility		$58.88	$229.09	$234.42
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $186.21 / $263.03	Professional		$123.03	$186.21	$263.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $63.10 / $239.88	Professional		$32.36	$63.10	$239.88
United Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $1,548.82 / $3,890.45	Facility		$251.19	$1,548.82	$3,890.45
United Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $169.82 / $331.13	Professional		$79.43	$169.82	$331.13
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $141.25 / $177.83	Professional		$63.10	$141.25	$177.83