Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.47 / $722.54 / $1,617.00	Facility		$60.47	$722.54	$1,617.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.47 / $85.53 / $314.86	Professional		$60.47	$85.53	$314.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $238.03 / $238.03 / $307.06	Professional		$238.03	$238.03	$307.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $310.98 / $310.98 / $310.98	Facility		$310.98	$310.98	$310.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $183.59 / $293.17 / $571.20	Professional		$183.59	$293.17	$571.20
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $40.79 / $179.16 / $268.74	Professional		$40.79	$179.16	$268.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $66.83 / $88.08 / $161.61	Professional		$66.83	$88.08	$161.61
United Facility/Professional Professional Modifier Low / Median / High Price $57.10 / $79.34 / $180.54	Professional		$57.10	$79.34	$180.54
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $65.25 / $65.25 / $65.25	Professional		$65.25	$65.25	$65.25