Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $258.64 / $566.41 / $15,928.99	Facility		$258.64	$566.41	$15,928.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $258.52 / $258.64 / $300.02	Professional		$258.52	$258.64	$300.02
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $258.52 / $258.52 / $462.16	Professional		$258.52	$258.52	$462.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $244.00 / $258.64 / $261.38	Facility		$244.00	$258.64	$261.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $258.64 / $258.64 / $258.64	Professional		$258.64	$258.64	$258.64
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $258.64 / $258.64 / $258.64	Facility		$258.64	$258.64	$258.64
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $129.32 / $258.64 / $258.64	Professional		$129.32	$258.64	$258.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $258.64 / $295.60 / $429.96	Professional		$258.64	$295.60	$429.96
United Facility/Professional Professional Modifier Low / Median / High Price $258.64 / $274.16 / $287.92	Professional		$258.64	$274.16	$287.92
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $258.52 / $258.52 / $258.64	Professional		$258.52	$258.52	$258.64