Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $174.38 / $193.25 / $221.42	Facility		$174.38	$193.25	$221.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $175.64 / $221.42 / $368.54	Professional		$175.64	$221.42	$368.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $315.66 / $315.66 / $315.66	Professional		$315.66	$315.66	$315.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $315.73 / $315.73 / $350.29	Facility		$315.73	$315.73	$350.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $230.48 / $230.48 / $344.09	Professional		$230.48	$230.48	$344.09
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $145.88 / $258.48 / $258.48	Facility		$145.88	$258.48	$258.48
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $200.62 / $260.50 / $420.88	Professional		$200.62	$260.50	$420.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $125.83 / $193.59 / $212.94	Professional		$125.83	$193.59	$212.94
United Facility/Professional Facility Modifier Low / Median / High Price $243.26 / $243.26 / $243.26	Facility		$243.26	$243.26	$243.26
United Facility/Professional Professional Modifier Low / Median / High Price $180.75 / $208.25 / $298.76	Professional		$180.75	$208.25	$298.76
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $193.59 / $193.59 / $250.09	Professional		$193.59	$193.59	$250.09