Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.94 / $214.23 / $465.80	Facility		$61.94	$214.23	$465.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.94 / $72.90 / $133.44	Professional		$61.94	$72.90	$133.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $119.36 / $280.52	Professional		$100.00	$119.36	$280.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $86.12 / $86.12 / $86.12	Facility		$86.12	$86.12	$86.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.03 / $95.34 / $152.00	Professional		$72.03	$95.34	$152.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $41.88 / $72.81 / $93.32	Professional		$41.88	$72.81	$93.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $56.17 / $84.10 / $140.09	Professional		$56.17	$84.10	$140.09
United Facility/Professional Professional Modifier Low / Median / High Price $62.17 / $88.92 / $151.09	Professional		$62.17	$88.92	$151.09
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $56.17 / $56.17 / $56.17	Professional		$56.17	$56.17	$56.17