Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.54 / $214.28 / $499.51	Facility		$102.54	$214.28	$499.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.57 / $107.39 / $107.39	Professional		$87.57	$107.39	$107.39
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $69.22 / $69.22 / $69.22	Professional		$69.22	$69.22	$69.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $79.48 / $123.84 / $296.55	Facility		$79.48	$123.84	$296.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.07 / $94.19 / $217.83	Professional		$34.07	$94.19	$217.83
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $69.22 / $89.98 / $165.58	Professional		$69.22	$89.98	$165.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $158.24 / $158.24 / $253.18	Professional		$158.24	$158.24	$253.18
United Facility/Professional Facility Modifier Low / Median / High Price $40.38 / $57.68 / $115.36	Facility		$40.38	$57.68	$115.36
United Facility/Professional Professional Modifier Low / Median / High Price $46.93 / $69.22 / $180.75	Professional		$46.93	$69.22	$180.75
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $56.97 / $56.97 / $59.76	Professional		$56.97	$56.97	$59.76