Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $645.65 / $1,445.44	Facility		$173.78	$645.65	$1,445.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $371.54 / $676.08	Professional		$309.03	$371.54	$676.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $208.93 / $257.04	Professional		$12.02	$208.93	$257.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $457.09 / $1,698.24	Facility		$309.03	$457.09	$1,698.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $354.81 / $812.83	Professional		$234.42	$354.81	$812.83
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $489.78 / $575.44	Professional		$288.40	$489.78	$575.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $245.47 / $416.87	Professional		$56.23	$245.47	$416.87
United Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $371.54 / $512.86	Facility		$204.17	$371.54	$512.86
United Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $239.88 / $691.83	Professional		$173.78	$239.88	$691.83
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $281.84 / $281.84	Professional		$125.89	$281.84	$281.84