Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $108.47 / $184.25 / $9,697.29	Facility		$108.47	$184.25	$9,697.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.47 / $109.28 / $303.80	Professional		$108.47	$109.28	$303.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $109.28 / $109.28 / $279.25	Professional		$109.28	$109.28	$279.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $108.47 / $163.28	Facility		$102.33	$108.47	$163.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.47 / $108.47 / $108.47	Professional		$108.47	$108.47	$108.47
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $108.47 / $108.47 / $108.47	Facility		$108.47	$108.47	$108.47
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $57.31 / $114.61 / $114.61	Professional		$57.31	$114.61	$114.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $224.11 / $269.23	Professional		$40.00	$224.11	$269.23
United Facility/Professional Professional Modifier Low / Median / High Price $108.47 / $114.98 / $120.75	Professional		$108.47	$114.98	$120.75
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $108.47 / $109.28 / $109.28	Professional		$108.47	$109.28	$109.28