Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $147.38 / $166.10 / $213.86	Facility		$147.38	$166.10	$213.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $142.00 / $185.32 / $363.28	Professional		$142.00	$185.32	$363.28
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $168.76 / $210.95 / $413.00	Professional		$168.76	$210.95	$413.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $197.63 / $197.63 / $197.63	Facility		$197.63	$197.63	$197.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $157.53 / $236.85 / $402.79	Professional		$157.53	$236.85	$402.79
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $118.13 / $130.59 / $188.01	Professional		$118.13	$130.59	$188.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $130.08 / $178.64 / $335.32	Professional		$130.08	$178.64	$335.32
United Facility/Professional Professional Modifier Low / Median / High Price $145.19 / $205.48 / $374.92	Professional		$145.19	$205.48	$374.92
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $132.00 / $132.00 / $174.12	Professional		$132.00	$132.00	$174.12