Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $295.12 / $1,000.00	Facility		$75.86	$295.12	$1,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $229.09 / $467.74	Professional		$190.55	$229.09	$467.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $177.83 / $177.83	Professional		$154.88	$177.83	$177.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $316.23 / $1,047.13	Facility		$213.80	$316.23	$1,047.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $218.78 / $512.86	Professional		$144.54	$218.78	$512.86
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $269.15 / $269.15	Facility		$257.04	$269.15	$269.15
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $154.88 / $302.00	Professional		$154.88	$154.88	$302.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $154.88 / $354.81	Professional		$33.88	$154.88	$354.81
United Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $208.93 / $316.23	Facility		$131.83	$208.93	$316.23
United Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $151.36 / $446.68	Professional		$89.13	$151.36	$446.68
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $154.88 / $154.88	Professional		$69.18	$154.88	$154.88