Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $157.47 / $430.89 / $1,820.81	Facility		$157.47	$430.89	$1,820.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $157.46 / $157.47 / $248.39	Professional		$157.46	$157.47	$248.39
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $133.81 / $133.81 / $164.80	Professional		$133.81	$133.81	$164.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $227.29 / $270.00 / $687.43	Facility		$227.29	$270.00	$687.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $156.72 / $156.72 / $156.72	Professional		$156.72	$156.72	$156.72
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $69.66 / $135.99 / $169.90	Professional		$69.66	$135.99	$169.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $50.00 / $258.57	Professional		$50.00	$50.00	$258.57
United Facility/Professional Professional Modifier Low / Median / High Price $137.08 / $220.33 / $367.22	Professional		$137.08	$220.33	$367.22
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $134.15 / $134.15 / $134.15	Professional		$134.15	$134.15	$134.15