Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.34 / $168.98 / $31,334.40	Facility		$91.34	$168.98	$31,334.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.02 / $91.34 / $109.22	Professional		$91.02	$91.34	$109.22
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $77.37 / $91.02 / $165.96	Professional		$77.37	$91.02	$165.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $86.17 / $91.34 / $95.64	Facility		$86.17	$91.34	$95.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.34 / $91.34 / $91.34	Professional		$91.34	$91.34	$91.34
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $91.34 / $91.34 / $91.34	Facility		$91.34	$91.34	$91.34
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $45.67 / $91.34 / $91.34	Professional		$45.67	$91.34	$91.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.12 / $92.13 / $153.56	Professional		$19.12	$92.13	$153.56
United Facility/Professional Professional Modifier Low / Median / High Price $91.34 / $96.82 / $101.68	Professional		$91.34	$96.82	$101.68
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $91.02 / $91.02 / $91.34	Professional		$91.02	$91.02	$91.34