Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $3,311.31 / $9,332.54	Facility		$549.54	$3,311.31	$9,332.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $134.90 / $251.19	Professional		$57.54	$134.90	$251.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $120.23 / $147.91	Professional		$102.33	$120.23	$147.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $363.08 / $407.38	Facility		$81.28	$363.08	$407.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $114.82 / $234.42	Professional		$50.12	$114.82	$234.42
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $100.00 / $169.82	Professional		$93.33	$100.00	$169.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $87.10 / $208.93	Professional		$33.11	$87.10	$208.93
United Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $239.88 / $239.88	Facility		$234.42	$239.88	$239.88
United Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $112.20 / $213.80	Professional		$51.29	$112.20	$213.80
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $42.66 / $107.15	Professional		$42.66	$42.66	$107.15