Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $389.11 / $389.11 / $389.11	Facility		$389.11	$389.11	$389.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.05 / $119.72 / $124.56	Professional		$78.05	$119.72	$124.56
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $69.89 / $69.89 / $69.89	Professional		$69.89	$69.89	$69.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.55 / $106.92 / $228.72	Professional		$70.55	$106.92	$228.72
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $69.89 / $136.85 / $161.34	Professional		$69.89	$136.85	$161.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.84 / $63.36 / $104.83	Professional		$15.84	$63.36	$104.83
United Facility/Professional Professional Modifier Low / Median / High Price $52.42 / $95.88 / $256.27	Professional		$52.42	$95.88	$256.27
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $32.40 / $72.00 / $72.00	Professional		$32.40	$72.00	$72.00