Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $73.20 / $135.41 / $11,623.58	Facility		$73.20	$135.41	$11,623.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.05 / $73.92 / $144.19	Professional		$73.05	$73.92	$144.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $73.05 / $73.05 / $73.05	Professional		$73.05	$73.05	$73.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $69.06 / $73.20 / $85.00	Facility		$69.06	$73.20	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.20 / $73.20 / $73.20	Professional		$73.20	$73.20	$73.20
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $59.18 / $73.20 / $73.20	Facility		$59.18	$73.20	$73.20
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $36.60 / $73.20 / $73.20	Professional		$36.60	$73.20	$73.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $21.96 / $24.15 / $37.33	Professional		$21.96	$24.15	$37.33
United Facility/Professional Professional Modifier Low / Median / High Price $73.20 / $77.59 / $81.48	Professional		$73.20	$77.59	$81.48
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $73.05 / $73.05 / $73.20	Professional		$73.05	$73.05	$73.20