Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.97 / $92.29 / $339.71	Facility		$39.97	$92.29	$339.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.65 / $40.65 / $48.78	Professional		$40.65	$40.65	$48.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $46.75 / $46.75 / $46.75	Professional		$46.75	$46.75	$46.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.35 / $40.65 / $85.00	Facility		$38.35	$40.65	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.65 / $40.65 / $40.65	Professional		$40.65	$40.65	$40.65
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $40.65 / $40.65 / $40.65	Facility		$40.65	$40.65	$40.65
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $40.65 / $40.65 / $42.95	Professional		$40.65	$40.65	$42.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $62.40 / $74.97	Professional		$40.00	$62.40	$74.97
United Facility/Professional Professional Modifier Low / Median / High Price $40.65 / $40.65 / $42.07	Professional		$40.65	$40.65	$42.07
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $40.65 / $41.20 / $41.20	Professional		$40.65	$41.20	$41.20