Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $202.43 / $210.28 / $228.11	Facility		$202.43	$210.28	$228.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $223.47 / $254.08 / $332.05	Professional		$223.47	$254.08	$332.05
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $236.65 / $331.87 / $442.97	Professional		$236.65	$331.87	$442.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $404.69 / $404.69 / $404.69	Facility		$404.69	$404.69	$404.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $219.37 / $342.56 / $619.09	Professional		$219.37	$342.56	$619.09
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 $123.28 / $201.72 / $326.35	Professional		$123.28	$201.72	$326.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $194.56 / $263.39 / $417.21	Professional		$194.56	$263.39	$417.21
United Facility/Professional Professional Modifier Low / Median / High Price $207.37 / $286.58 / $524.13	Professional		$207.37	$286.58	$524.13
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $190.73 / $194.56 / $194.56	Professional		$190.73	$194.56	$194.56