Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.36 / $46.27 / $268.80	Facility		$33.36	$46.27	$268.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.60 / $54.64 / $102.79	Professional		$37.60	$54.64	$102.79
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $50.63 / $50.63 / $89.23	Professional		$50.63	$50.63	$89.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.30 / $174.03 / $196.49	Facility		$64.30	$174.03	$196.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.77 / $75.36 / $163.54	Professional		$41.77	$75.36	$163.54
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $38.10 / $47.98 / $92.68	Professional		$38.10	$47.98	$92.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $47.75 / $72.12 / $112.95	Professional		$47.75	$72.12	$112.95
United Facility/Professional Professional Modifier Low / Median / High Price $46.66 / $83.41 / $153.13	Professional		$46.66	$83.41	$153.13
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $30.13 / $43.41 / $43.41	Professional		$30.13	$43.41	$43.41