Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.34 / $673.53 / $1,644.43	Facility		$57.34	$673.53	$1,644.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.57 / $72.52 / $122.83	Professional		$57.57	$72.52	$122.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $60.67 / $68.09 / $120.20	Professional		$60.67	$68.09	$120.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $80.95 / $340.00 / $720.30	Facility		$80.95	$340.00	$720.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.16 / $87.76 / $151.13	Professional		$61.16	$87.76	$151.13
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $210.00 / $210.00 / $300.00	Facility		$210.00	$210.00	$300.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $30.10 / $64.59 / $87.11	Professional		$30.10	$64.59	$87.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.36 / $70.39 / $115.87	Professional		$54.36	$70.39	$115.87
United Facility/Professional Facility Modifier Low / Median / High Price $210.00 / $420.00 / $900.00	Facility		$210.00	$420.00	$900.00
United Facility/Professional Professional Modifier Low / Median / High Price $53.57 / $71.33 / $117.79	Professional		$53.57	$71.33	$117.79
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $53.62 / $53.62 / $69.89	Professional		$53.62	$53.62	$69.89