Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $245.47 / $9,772.37	Facility		$104.71	$245.47	$9,772.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $177.83	Professional		$104.71	$104.71	$177.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $109.65 / $199.53	Professional		$109.65	$109.65	$199.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $104.71 / $229.09	Facility		$97.72	$104.71	$229.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $104.71	Professional		$104.71	$104.71	$104.71
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $104.71 / $109.65	Facility		$104.71	$104.71	$109.65
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $109.65 / $109.65	Professional		$54.95	$109.65	$109.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $158.49 / $190.55	Professional		$39.81	$158.49	$190.55
United Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $151.36 / $269.15	Facility		$109.65	$151.36	$269.15
United Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $109.65 / $158.49	Professional		$104.71	$109.65	$158.49
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $109.65	Professional		$104.71	$104.71	$109.65