Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.11 / $171.64 / $520.70	Facility		$104.11	$171.64	$520.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.57 / $114.42 / $135.30	Professional		$95.57	$114.42	$135.30
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $77.23 / $77.23 / $77.23	Professional		$77.23	$77.23	$77.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $101.83 / $142.56 / $484.20	Facility		$101.83	$142.56	$484.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.00 / $133.15 / $258.79	Professional		$79.00	$133.15	$258.79
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $77.23 / $77.23 / $173.71	Professional		$77.23	$77.23	$173.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $104.45 / $107.38 / $220.72	Professional		$104.45	$107.38	$220.72
United Facility/Professional Facility Modifier Low / Median / High Price $193.10 / $193.10 / $193.10	Facility		$193.10	$193.10	$193.10
United Facility/Professional Professional Modifier Low / Median / High Price $54.07 / $76.08 / $245.50	Professional		$54.07	$76.08	$245.50
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $97.62 / $97.62 / $97.62	Professional		$97.62	$97.62	$97.62