Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $257.04 / $295.12	Professional		$199.53	$257.04	$295.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $33.11 / $33.11	Professional		$33.11	$33.11	$33.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $234.42 / $354.81	Professional		$234.42	$234.42	$354.81
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $295.12 / $338.84	Professional		$275.42	$295.12	$338.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $2,754.23 / $2,754.23	Professional		$2,754.23	$2,754.23	$2,754.23
United Facility/Professional Facility Modifier Low / Median / High Price $2.95 / $2.95 / $275.42	Facility		$2.95	$2.95	$275.42
United Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $281.84 / $436.52	Professional		$190.55	$281.84	$436.52
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $199.53 / $363.08	Professional		$199.53	$199.53	$363.08