Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $660.69 / $2,089.30	Facility		$263.03	$660.69	$2,089.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $229.09 / $645.65	Professional		$162.18	$229.09	$645.65
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $363.08 / $660.69	Professional		$338.84	$363.08	$660.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $263.03 / $512.86	Facility		$141.25	$263.03	$512.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $295.12 / $457.09	Professional		$173.78	$295.12	$457.09
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $302.00 / $478.63	Facility		$158.49	$302.00	$478.63
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $295.12 / $398.11	Professional		$100.00	$295.12	$398.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $165.96 / $302.00	Professional		$125.89	$165.96	$302.00
United Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $208.93 / $660.69	Facility		$64.57	$208.93	$660.69
United Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $223.87 / $446.68	Professional		$162.18	$223.87	$446.68
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $144.54 / $426.58	Professional		$144.54	$144.54	$426.58