Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $113.09 / $113.09 / $130.05	Facility		$113.09	$113.09	$130.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.82 / $137.18 / $227.91	Professional		$23.82	$137.18	$227.91
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Professional		$100.00	$100.00	$100.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $261.13 / $261.13 / $261.13	Facility		$261.13	$261.13	$261.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $182.29 / $182.29 / $182.29	Professional		$182.29	$182.29	$182.29
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $99.67 / $99.67 / $114.77	Facility		$99.67	$99.67	$114.77
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $58.03 / $110.53 / $151.61	Professional		$58.03	$110.53	$151.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $50.00 / $350.22	Professional		$50.00	$50.00	$350.22
United Facility/Professional Professional Modifier Low / Median / High Price $96.65 / $161.54 / $295.10	Professional		$96.65	$161.54	$295.10
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $28.57 / $28.57 / $28.57	Professional		$28.57	$28.57	$28.57