Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.53 / $350.55 / $1,791.57	Facility		$74.53	$350.55	$1,791.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.65 / $41.06 / $80.08	Professional		$40.65	$41.06	$80.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $55.62 / $55.62 / $60.00	Professional		$55.62	$55.62	$60.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.35 / $40.65 / $163.92	Facility		$38.35	$40.65	$163.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.65 / $40.65 / $41.20	Professional		$40.65	$40.65	$41.20
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 $31.08 / $37.98 / $46.85	Professional		$31.08	$37.98	$46.85
United Facility/Professional Professional Modifier Low / Median / High Price $40.65 / $40.65 / $42.28	Professional		$40.65	$40.65	$42.28
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $40.65 / $41.20 / $41.20	Professional		$40.65	$41.20	$41.20