Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $84.11 / $239.67 / $767.20	Facility		$84.11	$239.67	$767.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $191.13 / $228.84 / $279.93	Professional		$191.13	$228.84	$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 $33.97 / $135.93 / $353.15	Professional		$33.97	$135.93	$353.15
United Facility/Professional Professional Modifier Low / Median / High Price $90.11 / $151.07 / $491.00	Professional		$90.11	$151.07	$491.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $154.47 / $154.47 / $154.47	Professional		$154.47	$154.47	$154.47