Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.77 / $100.08 / $374.85	Facility		$57.77	$100.08	$374.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.34 / $78.02 / $103.45	Professional		$62.34	$78.02	$103.45
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $58.11 / $58.11 / $58.11	Professional		$58.11	$58.11	$58.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.00 / $58.02 / $80.00	Facility		$45.00	$58.02	$80.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.58 / $95.91 / $149.56	Professional		$62.58	$95.91	$149.56
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $30.09 / $43.64 / $67.88	Facility		$30.09	$43.64	$67.88
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $57.16 / $72.89 / $97.19	Professional		$57.16	$72.89	$97.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.93 / $71.09 / $101.79	Professional		$54.93	$71.09	$101.79
United Facility/Professional Professional Modifier Low / Median / High Price $62.10 / $84.07 / $142.72	Professional		$62.10	$84.07	$142.72
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $54.38 / $65.87 / $65.87	Professional		$54.38	$65.87	$65.87