Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.17 / $166.84 / $937.62	Facility		$46.17	$166.84	$937.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.88 / $58.05 / $155.69	Professional		$46.88	$58.05	$155.69
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $92.84 / $92.84 / $229.06	Professional		$92.84	$92.84	$229.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.95 / $67.95 / $67.95	Facility		$67.95	$67.95	$67.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.47 / $74.34 / $120.32	Professional		$56.47	$74.34	$120.32
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $32.57 / $56.64 / $70.69	Professional		$32.57	$56.64	$70.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.74 / $42.40 / $80.80	Professional		$30.74	$42.40	$80.80
United Facility/Professional Professional Modifier Low / Median / High Price $47.37 / $68.90 / $115.39	Professional		$47.37	$68.90	$115.39
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $43.66 / $43.66 / $43.66	Professional		$43.66	$43.66	$43.66