Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $116.33 / $132.47 / $186.41	Professional		$116.33	$132.47	$186.41
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $218.88 / $218.88 / $218.88	Professional		$218.88	$218.88	$218.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $166.31 / $166.31 / $218.29	Facility		$166.31	$166.31	$218.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.36 / $166.31 / $196.56	Professional		$141.36	$166.31	$196.56
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $186.12 / $186.12 / $186.12	Facility		$186.12	$186.12	$186.12
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $186.12 / $321.69 / $324.14	Professional		$186.12	$321.69	$324.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $165.68 / $248.52 / $276.14	Professional		$165.68	$248.52	$276.14
United Facility/Professional Professional Modifier Low / Median / High Price $122.88 / $148.71 / $212.77	Professional		$122.88	$148.71	$212.77
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $276.14 / $276.14 / $276.14	Professional		$276.14	$276.14	$276.14