Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $173.03 / $320.11 / $572.73	Facility		$173.03	$320.11	$572.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $172.55 / $173.03 / $216.29	Professional		$172.55	$173.03	$216.29
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $164.92 / $172.55 / $300.00	Professional		$164.92	$172.55	$300.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $163.24 / $173.03 / $184.79	Facility		$163.24	$173.03	$184.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.03 / $173.03 / $173.03	Professional		$173.03	$173.03	$173.03
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $173.03 / $173.03 / $173.03	Facility		$173.03	$173.03	$173.03
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $86.52 / $173.03 / $173.03	Professional		$86.52	$173.03	$173.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $371.23 / $408.35 / $593.97	Professional		$371.23	$408.35	$593.97
United Facility/Professional Professional Modifier Low / Median / High Price $173.03 / $183.41 / $192.62	Professional		$173.03	$183.41	$192.62
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $172.55 / $172.55 / $173.03	Professional		$172.55	$172.55	$173.03