Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $253.29 / $263.67 / $284.83	Facility		$253.29	$263.67	$284.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $279.60 / $317.38 / $409.37	Professional		$279.60	$317.38	$409.37
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $288.49 / $440.12 / $555.54	Professional		$288.49	$440.12	$555.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $508.92 / $508.92 / $508.92	Facility		$508.92	$508.92	$508.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $271.89 / $429.36 / $772.39	Professional		$271.89	$429.36	$772.39
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 $153.74 / $251.58 / $409.22	Professional		$153.74	$251.58	$409.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $249.67 / $339.50 / $539.43	Professional		$249.67	$339.50	$539.43
United Facility/Professional Professional Modifier Low / Median / High Price $258.83 / $362.09 / $628.80	Professional		$258.83	$362.09	$628.80
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $239.75 / $243.83 / $243.83	Professional		$239.75	$243.83	$243.83