Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $6,165.95 / $16,595.87	Facility		$199.53	$6,165.95	$16,595.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $199.53 / $389.05	Professional		$199.53	$199.53	$389.05
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $204.17 / $204.17	Professional		$204.17	$204.17	$204.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $199.53 / $229.09	Facility		$186.21	$199.53	$229.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $199.53 / $213.80	Professional		$199.53	$199.53	$213.80
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $199.53 / $204.17	Facility		$93.33	$199.53	$204.17
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $204.17 / $204.17	Professional		$199.53	$204.17	$204.17
United Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $204.17 / $363.08	Facility		$204.17	$204.17	$363.08
United Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $204.17 / $223.87	Professional		$199.53	$204.17	$223.87
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $199.53 / $199.53	Professional		$199.53	$199.53	$199.53