Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.70 / $157.13 / $415.60	Facility		$125.70	$157.13	$415.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $149.16 / $209.40 / $310.19	Professional		$149.16	$209.40	$310.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $159.16 / $198.04 / $394.21	Professional		$159.16	$198.04	$394.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $359.94 / $383.16 / $406.38	Facility		$359.94	$383.16	$406.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $160.18 / $221.11 / $333.74	Professional		$160.18	$221.11	$333.74
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $99.95 / $159.71 / $242.71	Professional		$99.95	$159.71	$242.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $159.45 / $210.75 / $284.32	Professional		$159.45	$210.75	$284.32
United Facility/Professional Facility Modifier Low / Median / High Price $345.00 / $1,954.00 / $5,107.00	Facility		$345.00	$1,954.00	$5,107.00
United Facility/Professional Professional Modifier Low / Median / High Price $141.44 / $184.98 / $316.83	Professional		$141.44	$184.98	$316.83
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $181.65 / $181.65 / $181.65	Professional		$181.65	$181.65	$181.65