Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $227.28 / $420.47 / $14,820.78	Facility		$227.28	$420.47	$14,820.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $227.10 / $227.28 / $250.00	Professional		$227.10	$227.28	$250.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $227.28 / $227.28 / $400.00	Professional		$227.28	$227.28	$400.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $214.41 / $227.28 / $244.09	Facility		$214.41	$227.28	$244.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $227.28 / $227.28 / $227.28	Professional		$227.28	$227.28	$227.28
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $227.28 / $227.28 / $227.28	Facility		$227.28	$227.28	$227.28
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $113.64 / $227.28 / $227.28	Professional		$113.64	$227.28	$227.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $253.66 / $283.22 / $411.95	Professional		$253.66	$283.22	$411.95
United Facility/Professional Facility Modifier Low / Median / High Price $221.71 / $227.28 / $395.75	Facility		$221.71	$227.28	$395.75
United Facility/Professional Professional Modifier Low / Median / High Price $227.28 / $240.92 / $253.01	Professional		$227.28	$240.92	$253.01
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $227.10 / $227.10 / $227.28	Professional		$227.10	$227.10	$227.28