Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $204.17 / $41,686.94	Facility		$87.10	$204.17	$41,686.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $87.10 / $128.82	Professional		$85.11	$87.10	$128.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $87.10 / $151.36	Professional		$85.11	$87.10	$151.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $87.10 / $104.71	Facility		$81.28	$87.10	$104.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $87.10 / $87.10	Professional		$87.10	$87.10	$87.10
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $87.10 / $87.10	Facility		$85.11	$87.10	$87.10
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $87.10 / $87.10	Professional		$42.66	$87.10	$87.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $102.33 / $158.49	Professional		$91.20	$102.33	$158.49
United Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $85.11 / $151.36	Facility		$83.18	$85.11	$151.36
United Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $91.20 / $95.50	Professional		$83.18	$91.20	$95.50
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $87.10 / $87.10	Professional		$87.10	$87.10	$87.10