Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $140.71 / $197.76 / $270.39	Professional		$140.71	$197.76	$270.39
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $18.00 / $107.91 / $163.22	Professional		$18.00	$107.91	$163.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $193.40 / $193.40 / $258.98	Facility		$193.40	$193.40	$258.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $164.39 / $193.40 / $253.86	Professional		$164.39	$193.40	$253.86
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $210.70 / $372.47 / $416.58	Facility		$210.70	$372.47	$416.58
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $354.05 / $421.30 / $462.17	Professional		$354.05	$421.30	$462.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.61 / $41.82 / $380.16	Professional		$26.61	$41.82	$380.16
United Facility/Professional Professional Modifier Low / Median / High Price $17.10 / $27.86 / $224.73	Professional		$17.10	$27.86	$224.73
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $380.16 / $380.16 / $380.16	Professional		$380.16	$380.16	$380.16