Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $124.61 / $348.91 / $785.86	Facility		$124.61	$348.91	$785.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $124.61 / $180.99 / $496.80	Professional		$124.61	$180.99	$496.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $150.24 / $193.75 / $307.82	Professional		$150.24	$193.75	$307.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $163.99 / $321.36 / $372.73	Facility		$163.99	$321.36	$372.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.90 / $233.15 / $344.71	Professional		$147.90	$233.15	$344.71
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $131.46 / $140.85 / $239.24	Professional		$131.46	$140.85	$239.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $126.28 / $173.69 / $251.23	Professional		$126.28	$173.69	$251.23
United Facility/Professional Professional Modifier Low / Median / High Price $150.38 / $196.33 / $345.58	Professional		$150.38	$196.33	$345.58
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $110.92 / $110.92 / $110.92	Professional		$110.92	$110.92	$110.92