Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $76.25 / $527.07 / $1,040.73	Facility		$76.25	$527.07	$1,040.73
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $38.13 / $86.01 / $263.54	Facility	52	$38.13	$86.01	$263.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.53 / $152.41 / $257.87	Professional		$76.53	$152.41	$257.87
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $86.25 / $116.76 / $129.38	Professional		$86.25	$116.76	$129.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $124.64 / $280.00 / $648.15	Facility		$124.64	$280.00	$648.15
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $99.71 / $99.71 / $99.71	Facility	52	$99.71	$99.71	$99.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.95 / $154.16 / $344.93	Professional		$78.95	$154.16	$344.93
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $87.65 / $167.46 / $264.77	Professional		$87.65	$167.46	$264.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $98.61 / $177.58 / $269.35	Professional		$98.61	$177.58	$269.35
United Facility/Professional Professional Modifier Low / Median / High Price $139.66 / $208.69 / $368.94	Professional		$139.66	$208.69	$368.94
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $58.47 / $121.53 / $121.53	Professional		$58.47	$121.53	$121.53