Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $149.84 / $197.66 / $266.13	Professional		$149.84	$197.66	$266.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $269.54 / $269.54 / $315.10	Professional		$269.54	$269.54	$315.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $263.45 / $263.45 / $265.52	Facility		$263.45	$263.45	$265.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $223.93 / $223.93 / $297.51	Professional		$223.93	$223.93	$297.51
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $179.81 / $347.69 / $399.17	Professional		$179.81	$347.69	$399.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $158.05 / $237.07 / $263.42	Professional		$158.05	$237.07	$263.42
United Facility/Professional Professional Modifier Low / Median / High Price $147.77 / $190.82 / $295.54	Professional		$147.77	$190.82	$295.54
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $293.85 / $293.85 / $293.85	Professional		$293.85	$293.85	$293.85