Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.00 / $314.08 / $992.07	Facility		$125.00	$314.08	$992.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $191.13 / $222.77 / $279.93	Professional		$191.13	$222.77	$279.93
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $154.47 / $154.47 / $154.47	Professional		$154.47	$154.47	$154.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $207.30 / $290.20 / $968.40	Facility		$207.30	$290.20	$968.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $155.78 / $241.85 / $513.86	Professional		$155.78	$241.85	$513.86
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $256.16 / $266.41 / $266.41	Facility		$256.16	$266.41	$266.41
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $154.47 / $154.47 / $356.53	Professional		$154.47	$154.47	$356.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $165.88 / $170.53 / $441.43	Professional		$165.88	$170.53	$441.43
United Facility/Professional Facility Modifier Low / Median / High Price $257.45 / $257.45 / $386.18	Facility		$257.45	$257.45	$386.18
United Facility/Professional Professional Modifier Low / Median / High Price $108.13 / $151.07 / $535.50	Professional		$108.13	$151.07	$535.50
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $155.03 / $155.03 / $155.03	Professional		$155.03	$155.03	$155.03