Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $1,412.54 / $3,715.35	Facility		$239.88	$1,412.54	$3,715.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $239.88 / $263.03	Professional		$169.82	$239.88	$263.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $169.82 / $186.21	Professional		$147.91	$169.82	$186.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $537.03 / $707.95	Facility		$208.93	$537.03	$707.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $147.91 / $147.91	Professional		$147.91	$147.91	$147.91
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $138.04 / $263.03	Professional		$104.71	$138.04	$263.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $107.15 / $263.03	Facility		$51.29	$107.15	$263.03
United Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $199.53 / $389.05	Professional		$138.04	$199.53	$389.05
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $245.47 / $245.47	Professional		$120.23	$245.47	$245.47