Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.57 / $51.46 / $457.98	Facility		$40.57	$51.46	$457.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.57 / $57.54 / $101.71	Professional		$40.57	$57.54	$101.71
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $54.29 / $70.31 / $92.69	Professional		$54.29	$70.31	$92.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.43 / $91.03 / $128.63	Facility		$54.43	$91.03	$128.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.47 / $69.58 / $136.16	Professional		$42.47	$69.58	$136.16
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $68.38 / $282.64 / $453.04	Facility		$68.38	$282.64	$453.04
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $39.58 / $69.38 / $89.75	Professional		$39.58	$69.38	$89.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.50 / $48.08 / $90.20	Professional		$28.50	$48.08	$90.20
United Facility/Professional Professional Modifier Low / Median / High Price $49.55 / $61.34 / $114.18	Professional		$49.55	$61.34	$114.18
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $38.72 / $38.72 / $38.72	Professional		$38.72	$38.72	$38.72