Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $82.82 / $257.74 / $405.96	Facility		$82.82	$257.74	$405.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.49 / $94.41 / $108.57	Professional		$82.49	$94.41	$108.57
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $47.21 / $47.21 / $47.21	Professional		$47.21	$47.21	$47.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $124.50 / $176.00 / $198.71	Facility		$124.50	$176.00	$198.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.53 / $132.18 / $229.42	Professional		$75.53	$132.18	$229.42
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $67.02 / $69.70 / $87.78	Facility		$67.02	$69.70	$87.78
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $56.65 / $56.65 / $115.50	Professional		$56.65	$56.65	$115.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $77.00 / $96.26 / $110.12	Professional		$77.00	$96.26	$110.12
United Facility/Professional Facility Modifier Low / Median / High Price $212.42 / $212.42 / $477.94	Facility		$212.42	$212.42	$477.94
United Facility/Professional Professional Modifier Low / Median / High Price $33.04 / $39.65 / $94.11	Professional		$33.04	$39.65	$94.11
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $92.56 / $92.56 / $92.56	Professional		$92.56	$92.56	$92.56