Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.90 / $307.00 / $1,690.14	Facility		$104.90	$307.00	$1,690.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.90 / $127.56 / $211.34	Professional		$104.90	$127.56	$211.34
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $132.91 / $192.32 / $192.32	Professional		$132.91	$192.32	$192.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $110.59 / $437.70 / $633.52	Facility		$110.59	$437.70	$633.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.57 / $134.04 / $302.51	Professional		$89.57	$134.04	$302.51
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $49.03 / $100.48 / $162.88	Facility		$49.03	$100.48	$162.88
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $75.01 / $139.30 / $214.31	Professional		$75.01	$139.30	$214.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $36.94 / $125.86 / $230.95	Professional		$36.94	$125.86	$230.95
United Facility/Professional Facility Modifier Low / Median / High Price $524.34 / $524.34 / $1,179.77	Facility		$524.34	$524.34	$1,179.77
United Facility/Professional Professional Modifier Low / Median / High Price $84.52 / $129.30 / $229.59	Professional		$84.52	$129.30	$229.59
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $88.98 / $88.98 / $88.98	Professional		$88.98	$88.98	$88.98