Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $243.71 / $450.86 / $11,823.25	Facility		$243.71	$450.86	$11,823.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $243.71 / $243.82 / $282.83	Professional		$243.71	$243.82	$282.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $243.82 / $243.82 / $243.82	Professional		$243.82	$243.82	$243.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $229.92 / $243.71 / $252.06	Facility		$229.92	$243.71	$252.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $243.71 / $243.71 / $243.71	Professional		$243.71	$243.71	$243.71
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $243.71 / $243.71 / $243.71	Facility		$243.71	$243.71	$243.71
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $121.86 / $243.71 / $243.71	Professional		$121.86	$243.71	$243.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $73.80 / $229.54 / $382.56	Professional		$73.80	$229.54	$382.56
United Facility/Professional Professional Modifier Low / Median / High Price $243.71 / $258.33 / $271.30	Professional		$243.71	$258.33	$271.30
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $243.71 / $243.82 / $243.82	Professional		$243.71	$243.82	$243.82