Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.02 / $170.96 / $633.87	Facility		$67.02	$170.96	$633.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.02 / $84.83 / $147.29	Professional		$67.02	$84.83	$147.29
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $207.43 / $207.43 / $235.08	Professional		$207.43	$207.43	$235.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $83.17 / $180.67 / $227.59	Facility		$83.17	$180.67	$227.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.27 / $103.47 / $207.33	Professional		$69.27	$103.47	$207.33
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $95.05 / $207.08 / $331.91	Facility		$95.05	$207.08	$331.91
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $64.53 / $99.90 / $148.29	Professional		$64.53	$99.90	$148.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $36.04 / $82.64 / $142.48	Professional		$36.04	$82.64	$142.48
United Facility/Professional Professional Modifier Low / Median / High Price $75.70 / $87.10 / $155.07	Professional		$75.70	$87.10	$155.07
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $55.47 / $55.47 / $55.47	Professional		$55.47	$55.47	$55.47