Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.68 / $142.63 / $282.88	Facility		$46.68	$142.63	$282.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.68 / $62.28 / $128.91	Professional		$46.68	$62.28	$128.91
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $64.73 / $98.03 / $111.48	Professional		$64.73	$98.03	$111.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.98 / $173.40 / $204.00	Facility		$70.98	$173.40	$204.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.89 / $89.03 / $130.69	Professional		$56.89	$89.03	$130.69
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $47.60 / $51.00 / $88.16	Professional		$47.60	$51.00	$88.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $51.46 / $70.98 / $100.77	Professional		$51.46	$70.98	$100.77
United Facility/Professional Professional Modifier Low / Median / High Price $57.79 / $74.70 / $134.27	Professional		$57.79	$74.70	$134.27
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $43.76 / $43.76 / $43.76	Professional		$43.76	$43.76	$43.76