Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.57 / $102.81 / $20,130.06	Facility		$55.57	$102.81	$20,130.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.67 / $55.57 / $93.92	Professional		$54.67	$55.57	$93.92
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $54.67 / $54.67 / $95.67	Professional		$54.67	$54.67	$95.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52.42 / $55.57 / $59.91	Facility		$52.42	$55.57	$59.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.57 / $55.57 / $55.57	Professional		$55.57	$55.57	$55.57
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $55.57 / $55.57 / $55.57	Facility		$55.57	$55.57	$55.57
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $27.79 / $55.57 / $55.57	Professional		$27.79	$55.57	$55.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $78.95 / $94.85	Professional		$40.00	$78.95	$94.85
United Facility/Professional Professional Modifier Low / Median / High Price $55.57 / $58.90 / $61.86	Professional		$55.57	$58.90	$61.86
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $54.67 / $54.67 / $55.57	Professional		$54.67	$54.67	$55.57