Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $489.78 / $11,481.54	Facility		$154.88	$489.78	$11,481.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $93.33 / $316.23	Professional		$93.33	$93.33	$316.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $102.33 / $102.33	Professional		$102.33	$102.33	$102.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $93.33 / $95.50	Facility		$89.13	$93.33	$95.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $93.33 / $102.33	Professional		$93.33	$93.33	$102.33
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $93.33 / $95.50	Facility		$32.36	$93.33	$95.50
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $95.50 / $95.50	Professional		$93.33	$95.50	$95.50
United Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $93.33 / $162.18	Facility		$91.20	$93.33	$162.18
United Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $93.33 / $97.72	Professional		$91.20	$93.33	$97.72
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $93.33 / $93.33	Professional		$93.33	$93.33	$93.33