Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.68 / $260.19 / $617.59	Facility		$51.68	$260.19	$617.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.71 / $142.63 / $178.28	Professional		$92.71	$142.63	$178.28
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $85.58 / $85.58 / $85.58	Professional		$85.58	$85.58	$85.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.40 / $93.87 / $204.43	Facility		$70.40	$93.87	$204.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.65 / $119.72 / $216.78	Professional		$71.65	$119.72	$216.78
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $142.63 / $142.63 / $142.63	Professional		$142.63	$142.63	$142.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.19 / $40.00 / $94.13	Professional		$5.19	$40.00	$94.13
United Facility/Professional Facility Modifier Low / Median / High Price $142.60 / $142.60 / $213.90	Facility		$142.60	$142.60	$213.90
United Facility/Professional Professional Modifier Low / Median / High Price $64.18 / $85.58 / $191.98	Professional		$64.18	$85.58	$191.98
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $85.58 / $85.58 / $85.58	Professional		$85.58	$85.58	$85.58