Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $263.57 / $263.57 / $282.31	Facility		$263.57	$263.57	$282.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $255.05 / $272.07 / $321.82	Professional		$255.05	$272.07	$321.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $258.33 / $267.10 / $294.06	Professional		$258.33	$267.10	$294.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.70 / $22.70 / $22.70	Professional		$22.70	$22.70	$22.70
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $210.29 / $290.64 / $300.41	Professional		$210.29	$290.64	$300.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $50.00 / $70.00	Professional		$40.00	$50.00	$70.00
United Facility/Professional Professional Modifier Low / Median / High Price $258.47 / $258.47 / $258.47	Professional		$258.47	$258.47	$258.47
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $252.91 / $252.91 / $252.91	Professional		$252.91	$252.91	$252.91