Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $303.92 / $417.39 / $417.39	Facility		$303.92	$417.39	$417.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $256.45 / $346.55 / $435.43	Professional		$256.45	$346.55	$435.43
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $390.00 / $428.61 / $473.08	Professional		$390.00	$428.61	$473.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $547.66 / $547.66 / $547.66	Facility		$547.66	$547.66	$547.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $418.11 / $418.11 / $418.11	Professional		$418.11	$418.11	$418.11
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $169.42 / $359.24 / $515.72	Professional		$169.42	$359.24	$515.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $410.95 / $536.00 / $858.41	Professional		$410.95	$536.00	$858.41
United Facility/Professional Professional Modifier Low / Median / High Price $304.32 / $412.20 / $679.28	Professional		$304.32	$412.20	$679.28
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $337.08 / $387.88 / $387.88	Professional		$337.08	$387.88	$387.88