Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $157.66 / $174.73 / $200.19	Facility		$157.66	$174.73	$200.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $157.66 / $200.19 / $355.72	Professional		$157.66	$200.19	$355.72
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $285.41 / $285.41 / $285.41	Professional		$285.41	$285.41	$285.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $211.27 / $211.27 / $211.27	Facility		$211.27	$211.27	$211.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.22 / $154.22 / $225.22	Professional		$154.22	$154.22	$225.22
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $114.24 / $233.69 / $233.69	Facility		$114.24	$233.69	$233.69
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $171.59 / $233.69 / $380.55	Professional		$171.59	$233.69	$380.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $117.71 / $181.10 / $199.21	Professional		$117.71	$181.10	$199.21
United Facility/Professional Professional Modifier Low / Median / High Price $148.65 / $185.93 / $241.99	Professional		$148.65	$185.93	$241.99
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $181.10 / $181.10 / $202.56	Professional		$181.10	$181.10	$202.56