Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.05 / $121.24 / $617.59	Facility		$11.05	$121.24	$617.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.73 / $102.69 / $128.37	Professional		$77.73	$102.69	$128.37
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $71.31 / $85.58 / $142.63	Professional		$71.31	$85.58	$142.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $71.63 / $100.29 / $536.44	Facility		$71.63	$100.29	$536.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.98 / $118.69 / $250.26	Professional		$70.98	$118.69	$250.26
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $85.58 / $85.58 / $124.67	Professional		$85.58	$85.58	$124.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.83 / $75.30 / $115.53	Professional		$18.83	$75.30	$115.53
United Facility/Professional Facility Modifier Low / Median / High Price $213.94 / $213.94 / $213.94	Facility		$213.94	$213.94	$213.94
United Facility/Professional Professional Modifier Low / Median / High Price $49.92 / $59.90 / $223.48	Professional		$49.92	$59.90	$223.48
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $85.58 / $85.58 / $85.58	Professional		$85.58	$85.58	$85.58