Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $154.88 / $478.63	Facility		$114.82	$154.88	$478.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $165.96 / $281.84	Professional		$131.83	$165.96	$281.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $331.13 / $478.63	Professional		$245.47	$331.13	$478.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $177.83 / $239.88	Facility		$177.83	$177.83	$239.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $128.82 / $177.83	Professional		$128.82	$128.82	$177.83
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $169.82 / $245.47	Facility		$120.23	$169.82	$245.47
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $194.98 / $323.59	Professional		$72.44	$194.98	$323.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $257.04 / $257.04	Professional		$257.04	$257.04	$257.04
United Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $141.25 / $257.04	Facility		$109.65	$141.25	$257.04
United Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $154.88 / $204.17	Professional		$123.03	$154.88	$204.17
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $169.82 / $323.59	Professional		$169.82	$169.82	$323.59