Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $103.39 / $148.38 / $398.77	Facility		$103.39	$148.38	$398.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.48 / $105.11 / $147.54	Professional		$81.48	$105.11	$147.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $72.98 / $121.63 / $121.63	Professional		$72.98	$121.63	$121.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $97.68 / $136.74 / $457.44	Facility		$97.68	$136.74	$457.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.61 / $115.66 / $239.05	Professional		$74.61	$115.66	$239.05
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $72.98 / $72.98 / $144.82	Professional		$72.98	$72.98	$144.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $166.84 / $166.84 / $266.94	Professional		$166.84	$166.84	$266.94
United Facility/Professional Professional Modifier Low / Median / High Price $51.08 / $69.59 / $215.64	Professional		$51.08	$69.59	$215.64
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $121.63 / $121.63 / $121.63	Professional		$121.63	$121.63	$121.63