Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $149.04 / $551.59 / $1,440.16	Facility		$149.04	$551.59	$1,440.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $302.36 / $313.70 / $454.86	Professional		$302.36	$313.70	$454.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $218.80 / $294.41 / $465.90	Professional		$218.80	$294.41	$465.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $1,134.47 / $1,156.70	Facility		$500.00	$1,134.47	$1,156.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $321.26 / $321.26 / $2,012.78	Professional		$321.26	$321.26	$2,012.78
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $130.16 / $260.32 / $511.00	Professional		$130.16	$260.32	$511.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $136.71 / $177.73 / $195.50	Professional		$136.71	$177.73	$195.50
United Facility/Professional Professional Modifier Low / Median / High Price $359.05 / $359.05 / $362.64	Professional		$359.05	$359.05	$362.64
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $541.66 / $541.66 / $541.66	Professional		$541.66	$541.66	$541.66