Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $143.76 / $278.80 / $944.58	Facility		$143.76	$278.80	$944.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.00 / $25.20 / $36.64	Professional		$19.00	$25.20	$36.64
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $19.53 / $75.52 / $91.00	Professional		$19.53	$75.52	$91.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.14 / $30.81 / $120.41	Facility		$20.14	$30.81	$120.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.34 / $39.81 / $58.85	Professional		$20.34	$39.81	$58.85
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $103.27 / $205.03 / $323.83	Facility		$103.27	$205.03	$323.83
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $21.64 / $25.73 / $51.95	Professional		$21.64	$25.73	$51.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.18 / $12.29 / $70.00	Professional		$11.18	$12.29	$70.00
United Facility/Professional Professional Modifier Low / Median / High Price $14.07 / $17.93 / $43.59	Professional		$14.07	$17.93	$43.59
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $11.18 / $11.18 / $20.87	Professional		$11.18	$11.18	$20.87