Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $380.19 / $1,000.00	Facility		$165.96	$380.19	$1,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $204.17 / $331.13	Professional		$169.82	$204.17	$331.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $131.83 / $158.49	Professional		$131.83	$131.83	$158.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $275.42 / $1,071.52	Facility		$186.21	$275.42	$1,071.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $199.53 / $416.87	Professional		$131.83	$199.53	$416.87
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $158.49 / $234.42	Professional		$158.49	$158.49	$234.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.89 / $16.98 / $28.84	Professional		$3.89	$16.98	$28.84
United Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $234.42 / $263.03	Facility		$109.65	$234.42	$263.03
United Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $117.49 / $398.11	Professional		$91.20	$117.49	$398.11
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $17.38 / $17.38	Professional		$7.94	$17.38	$17.38