Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $295.12 / $575.44	Facility		$109.65	$295.12	$575.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $114.82 / $218.78	Professional		$95.50	$114.82	$218.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $79.43 / $89.13	Professional		$77.62	$79.43	$89.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $154.88 / $524.81	Facility		$104.71	$154.88	$524.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $109.65 / $257.04	Professional		$72.44	$109.65	$257.04
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $77.62 / $154.88	Professional		$77.62	$77.62	$154.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $97.72 / $218.78	Professional		$32.36	$97.72	$218.78
United Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $104.71 / $158.49	Facility		$66.07	$104.71	$158.49
United Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $75.86 / $223.87	Professional		$53.70	$75.86	$223.87
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $97.72 / $97.72	Professional		$43.65	$97.72	$97.72