Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $407.38 / $18,620.87	Facility		$173.78	$407.38	$18,620.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $173.78 / $218.78	Professional		$173.78	$173.78	$218.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $173.78 / $302.00	Professional		$173.78	$173.78	$302.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $173.78 / $251.19	Facility		$162.18	$173.78	$251.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $173.78 / $173.78	Professional		$173.78	$173.78	$173.78
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $173.78 / $173.78	Facility		$173.78	$173.78	$173.78
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $173.78 / $173.78	Professional		$87.10	$173.78	$173.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $371.54 / $588.84	Professional		$199.53	$371.54	$588.84
United Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $173.78 / $295.12	Facility		$165.96	$173.78	$295.12
United Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $186.21 / $194.98	Professional		$165.96	$186.21	$194.98
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $173.78 / $173.78	Professional		$173.78	$173.78	$173.78