Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $676.08 / $6,606.93	Facility		$151.36	$676.08	$6,606.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $151.36 / $169.82	Professional		$151.36	$151.36	$169.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $128.82 / $128.82	Professional		$114.82	$128.82	$128.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $151.36 / $151.36	Facility		$141.25	$151.36	$151.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Professional		$151.36	$151.36	$151.36
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $338.84 / $338.84	Facility		$338.84	$338.84	$338.84
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $109.65 / $338.84	Professional		$85.11	$109.65	$338.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $239.88 / $407.38	Professional		$177.83	$239.88	$407.38
United Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $194.98 / $380.19	Facility		$158.49	$194.98	$380.19
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $158.49 / $331.13	Professional		$125.89	$158.49	$331.13
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $177.83 / $177.83	Professional		$134.90	$177.83	$177.83