Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $501.19 / $1,096.48	Facility		$239.88	$501.19	$1,096.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $239.88 / $407.38	Professional		$181.97	$239.88	$407.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $208.93 / $269.15	Professional		$104.71	$208.93	$269.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $263.03 / $263.03	Facility		$263.03	$263.03	$263.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $263.03 / $263.03	Professional		$263.03	$263.03	$263.03
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $239.88 / $239.88	Facility		$239.88	$239.88	$239.88
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $239.88 / $239.88	Professional		$239.88	$239.88	$239.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $380.19 / $407.38	Professional		$39.81	$380.19	$407.38
United Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $316.23 / $426.58	Facility		$316.23	$316.23	$426.58
United Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $234.42 / $302.00	Professional		$234.42	$234.42	$302.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $229.09 / $229.09	Professional		$229.09	$229.09	$229.09