Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.32 / $87.55 / $28,853.03	Facility		$46.32	$87.55	$28,853.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.32 / $46.32 / $57.01	Professional		$46.32	$46.32	$57.01
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $46.35 / $52.74 / $92.30	Professional		$46.35	$52.74	$92.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.70 / $46.32 / $62.19	Facility		$43.70	$46.32	$62.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.32 / $46.32 / $46.32	Professional		$46.32	$46.32	$46.32
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $46.32 / $46.32 / $46.32	Facility		$46.32	$46.32	$46.32
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $23.16 / $46.32 / $46.32	Professional		$23.16	$46.32	$46.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $69.06 / $82.97 / $82.97	Professional		$69.06	$82.97	$82.97
United Facility/Professional Professional Modifier Low / Median / High Price $46.32 / $49.10 / $51.56	Professional		$46.32	$49.10	$51.56
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $46.32 / $49.23 / $49.23	Professional		$46.32	$49.23	$49.23