Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.71 / $135.08 / $422.13	Facility		$21.71	$135.08	$422.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.45 / $158.52 / $175.00	Professional		$107.45	$158.52	$175.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $92.10 / $92.10 / $92.10	Professional		$92.10	$92.10	$92.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.28 / $107.26 / $577.20	Facility		$37.28	$107.26	$577.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.36 / $173.14 / $260.67	Professional		$81.36	$173.14	$260.67
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $92.10 / $92.10 / $191.88	Professional		$92.10	$92.10	$191.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $92.10 / $92.10 / $101.31	Professional		$92.10	$92.10	$101.31
United Facility/Professional Professional Modifier Low / Median / High Price $53.73 / $64.47 / $199.79	Professional		$53.73	$64.47	$199.79
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $79.51 / $92.10 / $92.10	Professional		$79.51	$92.10	$92.10