Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $174.07 / $192.91 / $221.02	Facility		$174.07	$192.91	$221.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $166.93 / $203.06 / $367.88	Professional		$166.93	$203.06	$367.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $315.11 / $315.11 / $315.11	Professional		$315.11	$315.11	$315.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $233.26 / $233.26 / $233.26	Facility		$233.26	$233.26	$233.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $170.28 / $170.28 / $233.26	Professional		$170.28	$170.28	$233.26
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $154.07 / $258.02 / $258.02	Facility		$154.07	$258.02	$258.02
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $224.58 / $275.12 / $420.14	Professional		$224.58	$275.12	$420.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $153.51 / $236.17 / $259.78	Professional		$153.51	$236.17	$259.78
United Facility/Professional Professional Modifier Low / Median / High Price $164.12 / $205.23 / $267.18	Professional		$164.12	$205.23	$267.18
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $236.17 / $236.17 / $236.17	Professional		$236.17	$236.17	$236.17