Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $165.84 / $245.83 / $834.51	Facility		$165.84	$245.83	$834.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $145.66 / $165.84 / $262.86	Professional		$145.66	$165.84	$262.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $120.90 / $120.90 / $120.90	Professional		$120.90	$120.90	$120.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $143.29 / $200.61 / $758.16	Facility		$143.29	$200.61	$758.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $103.74 / $209.56 / $401.75	Professional		$103.74	$209.56	$401.75
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $120.90 / $120.90 / $157.16	Professional		$120.90	$120.90	$157.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $129.36 / $132.99 / $345.50	Professional		$129.36	$132.99	$345.50
United Facility/Professional Professional Modifier Low / Median / High Price $84.63 / $115.46 / $335.82	Professional		$84.63	$115.46	$335.82
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $201.50 / $201.50 / $201.50	Professional		$201.50	$201.50	$201.50