Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.22 / $139.16 / $22,801.40	Facility		$75.22	$139.16	$22,801.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.22 / $75.93 / $90.26	Professional		$75.22	$75.93	$90.26
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $75.93 / $75.93 / $75.93	Professional		$75.93	$75.93	$75.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.95 / $75.22 / $90.54	Facility		$70.95	$75.22	$90.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.22 / $75.22 / $75.22	Professional		$75.22	$75.22	$75.22
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $75.22 / $75.22 / $75.22	Facility		$75.22	$75.22	$75.22
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $37.61 / $75.22 / $75.22	Professional		$37.61	$75.22	$75.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $41.04 / $45.14 / $65.66	Professional		$41.04	$45.14	$65.66
United Facility/Professional Professional Modifier Low / Median / High Price $75.22 / $79.73 / $83.74	Professional		$75.22	$79.73	$83.74
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $75.22 / $75.93 / $75.93	Professional		$75.22	$75.93	$75.93