Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $176.45 / $773.41 / $14,246.34	Facility		$176.45	$773.41	$14,246.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $155.41 / $176.45 / $529.53	Professional		$155.41	$176.45	$529.53
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $132.11 / $155.41 / $186.50	Professional		$132.11	$155.41	$186.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $166.46 / $176.45 / $225.99	Facility		$166.46	$176.45	$225.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $176.45 / $176.45 / $176.45	Professional		$176.45	$176.45	$176.45
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $176.45 / $176.45 / $255.12	Facility		$176.45	$176.45	$255.12
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $88.23 / $176.45 / $176.45	Professional		$88.23	$176.45	$176.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $478.79 / $526.67 / $766.06	Professional		$478.79	$526.67	$766.06
United Facility/Professional Professional Modifier Low / Median / High Price $176.45 / $187.04 / $196.43	Professional		$176.45	$187.04	$196.43
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $155.41 / $155.41 / $176.45	Professional		$155.41	$155.41	$176.45