Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $128.82 / $12,882.50	Facility		$56.23	$128.82	$12,882.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $56.23 / $75.86	Professional		$54.95	$56.23	$75.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $56.23 / $56.23	Professional		$56.23	$56.23	$56.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $56.23 / $85.11	Facility		$52.48	$56.23	$85.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $56.23 / $56.23	Professional		$56.23	$56.23	$56.23
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $56.23 / $56.23	Facility		$56.23	$56.23	$56.23
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $56.23 / $56.23	Professional		$27.54	$56.23	$56.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $74.13 / $114.82	Professional		$63.10	$74.13	$114.82
United Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $56.23 / $93.33	Facility		$51.29	$56.23	$93.33
United Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $58.88 / $61.66	Professional		$52.48	$58.88	$61.66
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $56.23 / $56.23	Professional		$56.23	$56.23	$56.23