Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $117.49 / $138.04	Facility		$91.20	$117.49	$138.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $131.83 / $181.97	Professional		$104.71	$131.83	$181.97
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $33.11 / $33.11	Professional		$33.11	$33.11	$33.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $275.42 / $275.42	Facility		$275.42	$275.42	$275.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $141.25 / $831.76	Professional		$141.25	$141.25	$831.76
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $190.55 / $190.55	Professional		$138.04	$190.55	$190.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $39.81 / $39.81	Professional		$39.81	$39.81	$39.81
United Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $169.82 / $323.59	Professional		$112.20	$169.82	$323.59
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $70.79 / $70.79	Professional		$70.79	$70.79	$70.79