Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.76 / $169.89 / $182.28	Facility		$162.76	$169.89	$182.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $179.67 / $207.72 / $282.01	Professional		$179.67	$207.72	$282.01
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $191.39 / $257.50 / $378.62	Professional		$191.39	$257.50	$378.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $330.31 / $330.31 / $3,200.00	Facility		$330.31	$330.31	$3,200.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.34 / $277.31 / $496.07	Professional		$177.34	$277.31	$496.07
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $526.65 / $1,029.38 / $1,575.08	Facility		$526.65	$1,029.38	$1,575.08
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $98.36 / $160.96 / $250.38	Professional		$98.36	$160.96	$250.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $164.85 / $226.55 / $356.43	Professional		$164.85	$226.55	$356.43
United Facility/Professional Professional Modifier Low / Median / High Price $161.96 / $231.73 / $445.01	Professional		$161.96	$231.73	$445.01
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $155.75 / $158.30 / $158.30	Professional		$155.75	$158.30	$158.30