Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $240.00 / $1,599.00 / $3,995.00	Facility		$240.00	$1,599.00	$3,995.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $180.14 / $240.00 / $263.19	Professional		$180.14	$240.00	$263.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $170.27 / $170.27 / $273.22	Professional		$170.27	$170.27	$273.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $212.14 / $212.14 / $707.00	Facility		$212.14	$212.14	$707.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $146.27 / $146.27 / $146.27	Professional		$146.27	$146.27	$146.27
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $94.28 / $119.56 / $261.88	Professional		$94.28	$119.56	$261.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $187.13 / $224.81	Professional		$50.00	$187.13	$224.81
United Facility/Professional Professional Modifier Low / Median / High Price $143.07 / $204.98 / $385.63	Professional		$143.07	$204.98	$385.63
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $125.59 / $242.80 / $242.80	Professional		$125.59	$242.80	$242.80