Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $163.28 / $170.81 / $183.73	Facility		$163.28	$170.81	$183.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $180.25 / $206.10 / $264.02	Professional		$180.25	$206.10	$264.02
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $206.73 / $256.49 / $341.93	Professional		$206.73	$256.49	$341.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $329.30 / $329.30 / $329.30	Facility		$329.30	$329.30	$329.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.92 / $276.94 / $497.66	Professional		$177.92	$276.94	$497.66
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 $99.17 / $162.27 / $265.08	Professional		$99.17	$162.27	$265.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $164.85 / $226.55 / $352.48	Professional		$164.85	$226.55	$352.48
United Facility/Professional Professional Modifier Low / Median / High Price $163.71 / $230.70 / $435.25	Professional		$163.71	$230.70	$435.25
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $155.24 / $158.30 / $158.30	Professional		$155.24	$158.30	$158.30