Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $194.98 / $549.54	Facility		$102.33	$194.98	$549.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $114.82 / $275.42	Professional		$93.33	$114.82	$275.42
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $70.79 / $141.25	Professional		$70.79	$70.79	$141.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $141.25 / $575.44	Facility		$95.50	$141.25	$575.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $109.65 / $251.19	Professional		$72.44	$109.65	$251.19
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $134.90 / $177.83	Professional		$89.13	$134.90	$177.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $85.11 / $158.49	Professional		$18.62	$85.11	$158.49
United Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $128.82 / $158.49	Facility		$63.10	$128.82	$158.49
United Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $66.07 / $213.80	Professional		$54.95	$66.07	$213.80
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $85.11 / $85.11	Professional		$38.90	$85.11	$85.11