Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $218.83 / $314.08 / $988.61	Facility		$218.83	$314.08	$988.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $184.73 / $222.49 / $263.17	Professional		$184.73	$222.49	$263.17
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 $176.55 / $247.16 / $968.40	Facility		$176.55	$247.16	$968.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.21 / $259.81 / $513.86	Professional		$158.21	$259.81	$513.86
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $154.47 / $154.47 / $354.64	Professional		$154.47	$154.47	$354.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.13 / $36.61 / $353.15	Professional		$22.13	$36.61	$353.15
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 $90.11 / $148.63 / $491.00	Professional		$90.11	$148.63	$491.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $214.53 / $214.53 / $214.53	Professional		$214.53	$214.53	$214.53