Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $257.04 / $407.38	Facility		$67.61	$257.04	$407.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $91.20 / $245.47	Professional		$67.61	$91.20	$245.47
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $162.18 / $213.80	Professional		$162.18	$162.18	$213.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $165.96 / $234.42	Facility		$93.33	$165.96	$234.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $100.00 / $208.93	Professional		$69.18	$100.00	$208.93
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $177.83 / $331.13	Facility		$56.23	$177.83	$331.13
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $93.33 / $144.54	Professional		$66.07	$93.33	$144.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $39.81 / $95.50	Professional		$20.42	$39.81	$95.50
United Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $72.44 / $154.88	Facility		$39.81	$72.44	$154.88
United Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $89.13 / $162.18	Professional		$75.86	$89.13	$162.18
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $61.66 / $95.50	Professional		$61.66	$61.66	$95.50