Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.29 / $96.76 / $8,105.60	Facility		$40.29	$96.76	$8,105.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.29 / $40.70 / $59.57	Professional		$40.29	$40.70	$59.57
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $42.30 / $44.59 / $62.43	Professional		$42.30	$44.59	$62.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.63 / $40.29 / $61.17	Facility		$34.63	$40.29	$61.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.29 / $40.29 / $40.29	Professional		$40.29	$40.29	$40.29
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $40.29 / $40.29 / $40.29	Facility		$40.29	$40.29	$40.29
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $20.14 / $40.29 / $40.29	Professional		$20.14	$40.29	$40.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $55.46 / $61.01 / $88.75	Professional		$55.46	$61.01	$88.75
United Facility/Professional Professional Modifier Low / Median / High Price $40.29 / $42.71 / $44.84	Professional		$40.29	$42.71	$44.84
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $40.29 / $44.59 / $44.59	Professional		$40.29	$44.59	$44.59