Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $143.69 / $143.69 / $143.69	Facility		$143.69	$143.69	$143.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $146.06 / $194.03 / $277.20	Professional		$146.06	$194.03	$277.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $172.51 / $187.63 / $273.77	Professional		$172.51	$187.63	$273.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $228.74 / $228.74 / $529.27	Facility		$228.74	$228.74	$529.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $166.09 / $229.59 / $388.13	Professional		$166.09	$229.59	$388.13
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $74.81 / $160.33 / $233.30	Professional		$74.81	$160.33	$233.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $162.63 / $211.88 / $323.20	Professional		$162.63	$211.88	$323.20
United Facility/Professional Professional Modifier Low / Median / High Price $135.85 / $179.31 / $292.26	Professional		$135.85	$179.31	$292.26
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $155.24 / $155.24 / $201.75	Professional		$155.24	$155.24	$201.75