Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $165.86 / $183.80 / $210.59	Facility		$165.86	$183.80	$210.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $170.90 / $210.59 / $350.52	Professional		$170.90	$210.59	$350.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,857.27 / $1,857.27 / $1,857.27	Professional		$1,857.27	$1,857.27	$1,857.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $252.60 / $252.60 / $252.60	Facility		$252.60	$252.60	$252.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $184.40 / $184.40 / $252.60	Professional		$184.40	$184.40	$252.60
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $138.60 / $245.83 / $245.83	Facility		$138.60	$245.83	$245.83
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $190.80 / $247.50 / $400.31	Professional		$190.80	$247.50	$400.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $125.15 / $192.55 / $211.80	Professional		$125.15	$192.55	$211.80
United Facility/Professional Professional Modifier Low / Median / High Price $169.26 / $199.71 / $286.51	Professional		$169.26	$199.71	$286.51
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $192.55 / $192.55 / $239.83	Professional		$192.55	$192.55	$239.83