Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.65 / $102.95 / $9,153.83	Facility		$55.65	$102.95	$9,153.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.09 / $55.65 / $66.78	Professional		$55.09	$55.65	$66.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $55.09 / $55.09 / $55.65	Professional		$55.09	$55.09	$55.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52.50 / $55.65 / $64.95	Facility		$52.50	$55.65	$64.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.65 / $55.65 / $55.65	Professional		$55.65	$55.65	$55.65
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $55.65 / $55.65 / $55.65	Facility		$55.65	$55.65	$55.65
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $27.83 / $55.65 / $55.65	Professional		$27.83	$55.65	$55.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $62.48 / $68.73 / $99.97	Professional		$62.48	$68.73	$99.97
United Facility/Professional Professional Modifier Low / Median / High Price $55.65 / $58.99 / $61.95	Professional		$55.65	$58.99	$61.95
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $55.09 / $55.09 / $55.65	Professional		$55.09	$55.09	$55.65