Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $234.42 / $645.65	Facility		$77.62	$234.42	$645.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $138.04 / $218.78	Professional		$89.13	$138.04	$218.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $107.15 / $107.15	Professional		$102.33	$107.15	$107.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $102.33 / $691.83	Facility		$69.18	$102.33	$691.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $120.23 / $245.47	Professional		$66.07	$120.23	$245.47
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $102.33 / $131.83	Professional		$52.48	$102.33	$131.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $44.67 / $162.18	Professional		$36.31	$44.67	$162.18
United Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $114.82 / $169.82	Facility		$70.79	$114.82	$169.82
United Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $70.79 / $257.04	Professional		$53.70	$70.79	$257.04