Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $165.96 / $22,908.68	Facility		$74.13	$165.96	$22,908.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $74.13 / $100.00	Professional		$74.13	$74.13	$100.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $64.57 / $74.13	Professional		$64.57	$64.57	$74.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $74.13 / $95.50	Facility		$70.79	$74.13	$95.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $74.13 / $74.13	Professional		$74.13	$74.13	$74.13
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $74.13 / $75.86	Facility		$74.13	$74.13	$75.86
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $74.13 / $74.13	Professional		$37.15	$74.13	$74.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $44.67 / $74.13	Professional		$40.74	$44.67	$74.13
United Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $75.86 / $134.90	Facility		$75.86	$75.86	$134.90
United Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $79.43 / $83.18	Professional		$74.13	$79.43	$83.18
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $74.13 / $75.86	Professional		$74.13	$74.13	$75.86