Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.00 / $146.15 / $10,837.10	Facility		$79.00	$146.15	$10,837.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.45 / $79.00 / $89.44	Professional		$78.45	$79.00	$89.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $90.25 / $90.25 / $90.25	Professional		$90.25	$90.25	$90.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $74.52 / $79.00 / $87.85	Facility		$74.52	$79.00	$87.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.00 / $79.00 / $79.00	Professional		$79.00	$79.00	$79.00
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $79.00 / $79.00 / $79.00	Facility		$79.00	$79.00	$79.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $39.50 / $79.00 / $79.00	Professional		$39.50	$79.00	$79.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $43.95 / $90.00 / $134.63	Professional		$43.95	$90.00	$134.63
United Facility/Professional Professional Modifier Low / Median / High Price $79.00 / $83.74 / $87.94	Professional		$79.00	$83.74	$87.94
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $78.45 / $78.45 / $79.00	Professional		$78.45	$78.45	$79.00