Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $130.35 / $3,276.00 / $11,481.00	Facility		$130.35	$3,276.00	$11,481.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.25 / $130.35 / $201.98	Professional		$59.25	$130.35	$201.98
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $108.18 / $127.27 / $139.86	Professional		$108.18	$127.27	$139.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $166.98 / $359.94 / $406.38	Facility		$166.98	$359.94	$406.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.78 / $122.76 / $250.64	Professional		$58.78	$122.76	$250.64
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $111.89 / $168.60	Professional		$85.11	$111.89	$168.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $62.66 / $163.44 / $226.32	Professional		$62.66	$163.44	$226.32
United Facility/Professional Professional Modifier Low / Median / High Price $119.81 / $158.18 / $273.54	Professional		$119.81	$158.18	$273.54
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $48.20 / $115.88 / $115.88	Professional		$48.20	$115.88	$115.88