Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $575.44 / $1,258.93	Facility		$223.87	$575.44	$1,258.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $223.87 / $371.54	Professional		$186.21	$223.87	$371.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $169.82 / $177.83	Professional		$154.88	$169.82	$177.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $269.15 / $1,047.13	Facility		$181.97	$269.15	$1,047.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $218.78 / $512.86	Professional		$144.54	$218.78	$512.86
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $154.88 / $302.00	Professional		$154.88	$154.88	$302.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $37.15 / $389.05	Professional		$21.88	$37.15	$389.05
United Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $208.93 / $316.23	Facility		$128.82	$208.93	$316.23
United Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $147.91 / $446.68	Professional		$107.15	$147.91	$446.68
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $213.80 / $213.80	Professional		$95.50	$213.80	$213.80