Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $349.68 / $349.68 / $441.90	Facility		$349.68	$349.68	$441.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.41 / $118.11 / $187.52	Professional		$96.41	$118.11	$187.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $13.00 / $13.00 / $214.75	Professional		$13.00	$13.00	$214.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.06 / $120.75 / $252.31	Professional		$68.06	$120.75	$252.31
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $108.34 / $150.65 / $225.98	Professional		$108.34	$150.65	$225.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $124.88 / $178.57 / $232.50	Professional		$124.88	$178.57	$232.50
United Facility/Professional Professional Modifier Low / Median / High Price $82.36 / $117.33 / $413.14	Professional		$82.36	$117.33	$413.14
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $54.00 / $119.99 / $119.99	Professional		$54.00	$119.99	$119.99