Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.98 / $88.07 / $195.64	Facility		$51.98	$88.07	$195.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.31 / $50.53 / $52.83	Professional		$43.31	$50.53	$52.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $43.31 / $43.31 / $45.12	Professional		$43.31	$43.31	$45.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.17 / $53.34 / $213.72	Facility		$39.17	$53.34	$213.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.69 / $71.52 / $109.96	Professional		$35.69	$71.52	$109.96
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $41.87 / $43.31 / $85.06	Professional		$41.87	$43.31	$85.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $43.31 / $43.31 / $47.64	Professional		$43.31	$43.31	$47.64
United Facility/Professional Professional Modifier Low / Median / High Price $25.27 / $30.32 / $74.36	Professional		$25.27	$30.32	$74.36
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $37.39 / $43.31 / $43.31	Professional		$37.39	$43.31	$43.31