Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.44 / $106.17 / $146.22	Facility		$61.44	$106.17	$146.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.44 / $62.05 / $75.56	Professional		$61.44	$62.05	$75.56
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $114.07 / $114.07 / $114.07	Professional		$114.07	$114.07	$114.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.96 / $61.44 / $74.41	Facility		$57.96	$61.44	$74.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.44 / $61.44 / $61.44	Professional		$61.44	$61.44	$61.44
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $61.44 / $61.44 / $61.44	Facility		$61.44	$61.44	$61.44
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $30.72 / $61.44 / $61.44	Professional		$30.72	$61.44	$61.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $287.89 / $316.68 / $460.63	Professional		$287.89	$316.68	$460.63
United Facility/Professional Professional Modifier Low / Median / High Price $61.44 / $65.13 / $68.40	Professional		$61.44	$65.13	$68.40
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $61.44 / $62.97 / $62.97	Professional		$61.44	$62.97	$62.97