Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $186.21 / $467.74	Facility		$13.80	$186.21	$467.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $91.20 / $234.42	Professional		$75.86	$91.20	$234.42
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $147.91 / $158.49	Professional		$147.91	$147.91	$158.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $134.90 / $134.90	Facility		$134.90	$134.90	$134.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $112.20 / $173.78	Professional		$81.28	$112.20	$173.78
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $67.61 / $114.82	Professional		$48.98	$67.61	$114.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $100.00	Professional		$32.36	$33.11	$100.00
United Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $100.00 / $169.82	Professional		$70.79	$100.00	$169.82
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $63.10 / $85.11	Professional		$63.10	$63.10	$85.11