Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $71.37 / $132.04 / $841.43	Facility		$71.37	$132.04	$841.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.84 / $71.37 / $85.65	Professional		$69.84	$71.37	$85.65
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $69.84 / $69.84 / $69.84	Professional		$69.84	$69.84	$69.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.33 / $71.37 / $81.65	Facility		$67.33	$71.37	$81.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.37 / $71.37 / $71.37	Professional		$71.37	$71.37	$71.37
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $71.37 / $71.37 / $71.37	Facility		$71.37	$71.37	$71.37
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $35.69 / $71.37 / $71.37	Professional		$35.69	$71.37	$71.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.30 / $2.53 / $3.91	Professional		$2.30	$2.53	$3.91
United Facility/Professional Professional Modifier Low / Median / High Price $71.37 / $75.65 / $79.45	Professional		$71.37	$75.65	$79.45
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $69.83 / $69.83 / $71.37	Professional		$69.83	$69.83	$71.37