Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $139.65 / $239.82 / $290.02	Facility		$139.65	$239.82	$290.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $220.27 / $290.02 / $482.76	Professional		$220.27	$290.02	$482.76
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $358.36 / $358.36 / $496.19	Professional		$358.36	$358.36	$496.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $321.89 / $336.03 / $336.03	Facility		$321.89	$336.03	$336.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $245.30 / $245.30 / $336.03	Professional		$245.30	$245.30	$336.03
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $338.55 / $338.55 / $338.55	Facility		$338.55	$338.55	$338.55
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $294.70 / $338.55 / $551.32	Professional		$294.70	$338.55	$551.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $187.31 / $288.18 / $316.99	Professional		$187.31	$288.18	$316.99
United Facility/Professional Professional Modifier Low / Median / High Price $220.66 / $269.31 / $350.61	Professional		$220.66	$269.31	$350.61
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $288.18 / $288.18 / $293.48	Professional		$288.18	$288.18	$293.48