Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $106.67 / $306.20 / $688.31	Facility		$106.67	$306.20	$688.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.54 / $124.96 / $133.25	Professional		$92.54	$124.96	$133.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $75.29 / $75.29 / $75.29	Professional		$75.29	$75.29	$75.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.36 / $140.50 / $471.44	Facility		$100.36	$140.50	$471.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.34 / $119.04 / $250.32	Professional		$75.34	$119.04	$250.32
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $176.91 / $713.02 / $1,142.83	Facility		$176.91	$713.02	$1,142.83
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $75.29 / $75.29 / $172.62	Professional		$75.29	$75.29	$172.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $16.88 / $67.52 / $170.98	Professional		$16.88	$67.52	$170.98
United Facility/Professional Facility Modifier Low / Median / High Price $112.94 / $112.94 / $188.24	Facility		$112.94	$112.94	$188.24
United Facility/Professional Professional Modifier Low / Median / High Price $56.47 / $102.59 / $263.10	Professional		$56.47	$102.59	$263.10
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $76.73 / $76.73 / $76.73	Professional		$76.73	$76.73	$76.73