Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $190.55 / $24,547.09	Facility		$79.43	$190.55	$24,547.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $79.43 / $104.71	Professional		$79.43	$79.43	$104.71
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $81.28	Professional		$81.28	$81.28	$81.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $79.43 / $117.49	Facility		$75.86	$79.43	$117.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Professional		$79.43	$79.43	$79.43
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $81.28 / $81.28	Facility		$51.29	$81.28	$81.28
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $79.43 / $79.43	Professional		$39.81	$79.43	$79.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $100.00 / $151.36	Professional		$89.13	$100.00	$151.36
United Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $77.62 / $138.04	Facility		$77.62	$77.62	$138.04
United Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $85.11 / $89.13	Professional		$77.62	$85.11	$89.13
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Professional		$79.43	$79.43	$79.43