Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $208.93 / $630.96	Facility		$45.71	$208.93	$630.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $63.10 / $162.18	Professional		$48.98	$63.10	$162.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $40.74 / $52.48	Professional		$29.51	$40.74	$52.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $87.10 / $281.84	Facility		$58.88	$87.10	$281.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $57.54 / $141.25	Professional		$38.90	$57.54	$141.25
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $30.90 / $30.90	Facility		$21.38	$30.90	$30.90
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $34.67 / $51.29	Professional		$25.70	$34.67	$51.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $41.69 / $81.28	Professional		$9.33	$41.69	$81.28
United Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $63.10 / $87.10	Facility		$35.48	$63.10	$87.10
United Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $35.48 / $112.20	Professional		$28.18	$35.48	$112.20
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $41.69 / $41.69	Professional		$19.05	$41.69	$41.69