Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $281.84 / $354.81	Professional		$218.78	$281.84	$354.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $446.68 / $446.68	Professional		$446.68	$446.68	$446.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $302.00 / $426.58	Facility		$302.00	$302.00	$426.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $302.00 / $389.05	Professional		$257.04	$302.00	$389.05
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $575.44 / $676.08	Professional		$173.78	$575.44	$676.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $426.58 / $467.74	Professional		$281.84	$426.58	$467.74
United Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $213.80 / $371.54	Facility		$26.92	$213.80	$371.54
United Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $281.84 / $407.38	Professional		$223.87	$281.84	$407.38
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $467.74 / $467.74	Professional		$467.74	$467.74	$467.74