Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $234.81 / $270.93 / $793.71	Facility		$234.81	$270.93	$793.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $234.81 / $234.81 / $469.02	Professional		$234.81	$234.81	$469.02
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $268.52 / $268.52 / $268.52	Professional		$268.52	$268.52	$268.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $410.02 / $410.02 / $410.02	Professional		$410.02	$410.02	$410.02
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $251.05 / $306.23 / $528.34	Professional		$251.05	$306.23	$528.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $163.42 / $210.74	Professional		$50.00	$163.42	$210.74
United Facility/Professional Professional Modifier Low / Median / High Price $278.99 / $395.15 / $638.09	Professional		$278.99	$395.15	$638.09
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $142.86 / $142.86 / $142.86	Professional		$142.86	$142.86	$142.86