Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $331.13 / $645.65	Facility		$194.98	$331.13	$645.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $194.98 / $229.09	Professional		$194.98	$194.98	$229.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $190.55 / $190.55	Professional		$190.55	$190.55	$190.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $194.98 / $281.84	Facility		$186.21	$194.98	$281.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $194.98 / $194.98	Professional		$194.98	$194.98	$194.98
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $194.98 / $194.98	Facility		$190.55	$194.98	$194.98
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $194.98 / $194.98	Professional		$97.72	$194.98	$194.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $213.80 / $331.13	Professional		$50.12	$213.80	$331.13
United Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $190.55 / $338.84	Facility		$190.55	$190.55	$338.84
United Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $208.93 / $218.78	Professional		$190.55	$208.93	$218.78
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $194.98 / $194.98	Professional		$194.98	$194.98	$194.98