Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $467.74 / $1,071.52	Facility		$144.54	$467.74	$1,071.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $234.42 / $549.54	Professional		$128.82	$234.42	$549.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $190.55 / $295.12	Professional		$147.91	$190.55	$295.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $338.84 / $398.11	Facility		$245.47	$338.84	$398.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $234.42 / $346.74	Professional		$147.91	$234.42	$346.74
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $147.91 / $229.09	Professional		$138.04	$147.91	$229.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $263.03	Professional		$32.36	$33.11	$263.03
United Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $117.49 / $213.80	Facility		$117.49	$117.49	$213.80
United Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $194.98 / $331.13	Professional		$151.36	$194.98	$331.13
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $123.03 / $194.98	Professional		$123.03	$123.03	$194.98