Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.88 / $130.47 / $354.90	Facility		$64.88	$130.47	$354.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.00 / $76.01 / $93.61	Professional		$58.00	$76.01	$93.61
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $51.06 / $51.06 / $51.06	Professional		$51.06	$51.06	$51.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $68.52 / $95.92 / $319.83	Facility		$68.52	$95.92	$319.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.53 / $78.63 / $169.77	Professional		$51.53	$78.63	$169.77
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $70.13 / $97.50 / $97.50	Facility		$70.13	$97.50	$97.50
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $51.06 / $51.06 / $106.25	Professional		$51.06	$51.06	$106.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.23 / $44.93 / $96.67	Professional		$11.23	$44.93	$96.67
United Facility/Professional Professional Modifier Low / Median / High Price $33.65 / $42.39 / $157.50	Professional		$33.65	$42.39	$157.50
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $51.06 / $51.06 / $51.06	Professional		$51.06	$51.06	$51.06