Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $120.56 / $408.26	Facility		$42.66	$120.56	$408.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.31 / $95.90 / $329.01	Professional		$39.31	$95.90	$329.01
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $82.20 / $82.20 / $82.20	Professional		$82.20	$82.20	$82.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.19 / $105.26 / $514.79	Facility		$75.19	$105.26	$514.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.95 / $110.87 / $232.52	Professional		$65.95	$110.87	$232.52
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $82.20 / $82.20 / $119.75	Professional		$82.20	$82.20	$119.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $87.95 / $90.42 / $123.30	Professional		$87.95	$90.42	$123.30
United Facility/Professional Facility Modifier Low / Median / High Price $137.00 / $137.00 / $205.50	Facility		$137.00	$137.00	$205.50
United Facility/Professional Professional Modifier Low / Median / High Price $47.95 / $57.54 / $214.66	Professional		$47.95	$57.54	$214.66
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $137.00 / $137.00 / $137.00	Professional		$137.00	$137.00	$137.00