Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $141.25 / $549.54	Facility		$52.48	$141.25	$549.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $123.03 / $269.15	Professional		$102.33	$123.03	$269.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $12.88 / $144.54	Professional		$12.88	$12.88	$144.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $154.88 / $588.84	Facility		$102.33	$154.88	$588.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $109.65 / $251.19	Professional		$72.44	$109.65	$251.19
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $691.83 / $1,122.02	Facility		$354.81	$691.83	$1,122.02
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $87.10 / $147.91	Professional		$87.10	$87.10	$147.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $87.10 / $169.82	Professional		$19.05	$87.10	$169.82
United Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $128.82 / $154.88	Facility		$63.10	$128.82	$154.88
United Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $102.33 / $288.40	Professional		$64.57	$102.33	$288.40
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $87.10 / $87.10	Professional		$38.90	$87.10	$87.10