Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $211.06 / $211.06 / $251.26	Facility		$211.06	$211.06	$251.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $202.54 / $221.65 / $273.64	Professional		$202.54	$221.65	$273.64
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $226.29 / $242.10 / $267.08	Professional		$226.29	$242.10	$267.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.81 / $65.81 / $65.81	Professional		$65.81	$65.81	$65.81
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $191.40 / $263.67 / $273.43	Professional		$191.40	$263.67	$273.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $50.00 / $407.41	Professional		$40.00	$50.00	$407.41
United Facility/Professional Professional Modifier Low / Median / High Price $207.49 / $207.49 / $207.49	Professional		$207.49	$207.49	$207.49
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $207.49 / $207.49 / $207.49	Professional		$207.49	$207.49	$207.49