Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $72.44 / $83.18	Facility		$67.61	$72.44	$83.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $81.28 / $138.04	Professional		$66.07	$81.28	$138.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $144.54 / $724.44	Professional		$117.49	$144.54	$724.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $117.49	Facility		$100.00	$100.00	$117.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $72.44 / $100.00	Professional		$72.44	$72.44	$100.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $95.50 / $162.18	Professional		$35.48	$95.50	$162.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $16.22 / $19.95	Professional		$10.47	$16.22	$19.95
United Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $70.79 / $125.89	Facility		$53.70	$70.79	$125.89
United Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $75.86 / $100.00	Professional		$61.66	$75.86	$100.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $16.22 / $162.18	Professional		$16.22	$16.22	$162.18