Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $1,047.13 / $1,621.81	Facility		$63.10	$1,047.13	$1,621.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $138.04 / $489.78	Professional		$69.18	$138.04	$489.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $251.19 / $281.84	Professional		$239.88	$251.19	$281.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $436.52 / $436.52	Facility		$436.52	$436.52	$436.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $309.03 / $741.31	Professional		$181.97	$309.03	$741.31
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $194.98 / $263.03	Professional		$43.65	$194.98	$263.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $104.71 / $173.78	Professional		$72.44	$104.71	$173.78
United Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $81.28 / $190.55	Professional		$57.54	$81.28	$190.55
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $64.57 / $275.42	Professional		$64.57	$64.57	$275.42