Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $59.77 / $118.66 / $673.20	Facility		$59.77	$118.66	$673.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.25 / $74.25 / $101.65	Professional		$55.25	$74.25	$101.65
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $66.95 / $66.95 / $66.95	Professional		$66.95	$66.95	$66.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $80.29 / $80.29 / $80.29	Facility		$80.29	$80.29	$80.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.29 / $80.29 / $80.29	Professional		$80.29	$80.29	$80.29
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $26.65 / $27.72 / $27.72	Facility		$26.65	$27.72	$27.72
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $23.81 / $39.97 / $47.61	Professional		$23.81	$39.97	$47.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $40.00 / $50.00	Professional		$40.00	$40.00	$50.00
United Facility/Professional Professional Modifier Low / Median / High Price $24.79 / $59.81 / $113.12	Professional		$24.79	$59.81	$113.12
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $93.36 / $93.36 / $93.36	Professional		$93.36	$93.36	$93.36