Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.78 / $58.78 / $58.78	Facility		$58.78	$58.78	$58.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.78 / $84.95 / $125.20	Professional		$58.78	$84.95	$125.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $27.00 / $40.00 / $252.40	Professional		$27.00	$40.00	$252.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.80 / $202.00 / $261.05	Professional		$107.80	$202.00	$261.05
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $106.19 / $216.79 / $275.08	Professional		$106.19	$216.79	$275.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $40.00 / $70.00	Professional		$40.00	$40.00	$70.00
United Facility/Professional Facility Modifier Low / Median / High Price $233.00 / $233.00 / $233.00	Facility		$233.00	$233.00	$233.00
United Facility/Professional Professional Modifier Low / Median / High Price $320.00 / $320.00 / $320.00	Professional		$320.00	$320.00	$320.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $90.00 / $90.00 / $90.00	Professional		$90.00	$90.00	$90.00