Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.09 / $227.46 / $1,015.80	Facility		$52.09	$227.46	$1,015.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.48 / $106.32 / $260.82	Professional		$102.48	$106.32	$260.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $68.47 / $97.81 / $197.07	Professional		$68.47	$97.81	$197.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $109.99 / $109.99 / $293.94	Facility		$109.99	$109.99	$293.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.99 / $109.99 / $109.99	Professional		$109.99	$109.99	$109.99
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $67.76 / $70.47 / $130.41	Facility		$67.76	$70.47	$130.41
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $91.29 / $130.41 / $130.41	Professional		$91.29	$130.41	$130.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $153.80 / $195.50	Professional		$40.00	$153.80	$195.50
United Facility/Professional Professional Modifier Low / Median / High Price $450.58 / $450.58 / $455.09	Professional		$450.58	$450.58	$455.09
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $138.22 / $138.22 / $138.22	Professional		$138.22	$138.22	$138.22