Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $175.97 / $194.16 / $285.22	Professional		$175.97	$194.16	$285.22
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $295.92 / $295.92 / $340.14	Professional		$295.92	$295.92	$340.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $243.78 / $243.78 / $327.93	Facility		$243.78	$243.78	$327.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $207.21 / $243.78 / $319.95	Professional		$207.21	$243.78	$319.95
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $292.20 / $292.20 / $292.20	Facility		$292.20	$292.20	$292.20
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $292.20 / $422.54 / $508.84	Professional		$292.20	$422.54	$508.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $217.62 / $290.16 / $362.71	Professional		$217.62	$290.16	$362.71
United Facility/Professional Professional Modifier Low / Median / High Price $173.61 / $224.27 / $336.96	Professional		$173.61	$224.27	$336.96
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $362.71 / $362.71 / $362.71	Professional		$362.71	$362.71	$362.71