Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $86.00 / $514.98 / $1,508.39	Facility		$86.00	$514.98	$1,508.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $238.56 / $431.25 / $640.09	Professional		$238.56	$431.25	$640.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $333.96 / $333.96 / $333.96	Professional		$333.96	$333.96	$333.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $156.56 / $219.19 / $2,093.44	Facility		$156.56	$219.19	$2,093.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $278.51 / $522.84 / $944.76	Professional		$278.51	$522.84	$944.76
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $333.96 / $333.96 / $1,149.15	Professional		$333.96	$333.96	$1,149.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $357.33 / $367.35 / $500.94	Professional		$357.33	$367.35	$500.94
United Facility/Professional Facility Modifier Low / Median / High Price $556.60 / $556.60 / $834.90	Facility		$556.60	$556.60	$834.90
United Facility/Professional Professional Modifier Low / Median / High Price $194.81 / $233.77 / $872.11	Professional		$194.81	$233.77	$872.11
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $556.60 / $556.60 / $556.60	Professional		$556.60	$556.60	$556.60