Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.96 / $3,401.00 / $11,576.00	Facility		$58.96	$3,401.00	$11,576.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.95 / $126.95 / $213.15	Professional		$58.95	$126.95	$213.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $155.50 / $155.50 / $155.50	Professional		$155.50	$155.50	$155.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.00 / $107.24 / $539.88	Facility		$45.00	$107.24	$539.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.00 / $155.34 / $307.27	Professional		$67.00	$155.34	$307.27
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $54.94 / $78.48 / $135.37	Facility		$54.94	$78.48	$135.37
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $88.14 / $145.78 / $222.17	Professional		$88.14	$145.78	$222.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $122.14 / $210.08 / $345.85	Professional		$122.14	$210.08	$345.85
United Facility/Professional Professional Modifier Low / Median / High Price $133.75 / $204.63 / $396.12	Professional		$133.75	$204.63	$396.12
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $50.55 / $152.68 / $152.68	Professional		$50.55	$152.68	$152.68