Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.20 / $138.11 / $323.17	Facility		$53.20	$138.11	$323.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $256.67 / $266.30 / $279.62	Professional		$256.67	$266.30	$279.62
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $102.60 / $150.00 / $192.50	Professional		$102.60	$150.00	$192.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $272.70 / $272.70 / $272.70	Facility		$272.70	$272.70	$272.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $272.70 / $272.70 / $272.70	Professional		$272.70	$272.70	$272.70
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $53.20 / $55.33 / $55.33	Facility		$53.20	$55.33	$55.33
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $53.20 / $53.20 / $53.20	Professional		$53.20	$53.20	$53.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $40.00 / $50.00	Professional		$40.00	$40.00	$50.00
United Facility/Professional Professional Modifier Low / Median / High Price $267.37 / $267.37 / $280.74	Professional		$267.37	$267.37	$280.74
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $62.57 / $62.57 / $62.57	Professional		$62.57	$62.57	$62.57