Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $148.71 / $148.71 / $148.71	Facility		$148.71	$148.71	$148.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $130.86 / $181.97 / $218.90	Professional		$130.86	$181.97	$218.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $248.52 / $248.52 / $368.18	Professional		$248.52	$248.52	$368.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $217.02 / $217.02 / $560.96	Facility		$217.02	$217.02	$560.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $167.84 / $167.84 / $167.84	Professional		$167.84	$167.84	$167.84
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $82.90 / $181.96 / $224.49	Professional		$82.90	$181.96	$224.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $128.73 / $177.79 / $320.16	Professional		$128.73	$177.79	$320.16
United Facility/Professional Professional Modifier Low / Median / High Price $149.27 / $203.64 / $342.08	Professional		$149.27	$203.64	$342.08
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $155.69 / $155.69 / $155.69	Professional		$155.69	$155.69	$155.69