Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $207.49 / $229.94 / $263.45	Facility		$207.49	$229.94	$263.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $198.98 / $245.54 / $438.50	Professional		$198.98	$245.54	$438.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $298.37 / $298.37 / $298.37	Professional		$298.37	$298.37	$298.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $278.04 / $278.04 / $278.04	Facility		$278.04	$278.04	$278.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $202.97 / $202.97 / $388.80	Professional		$202.97	$202.97	$388.80
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $173.50 / $244.31 / $307.52	Facility		$173.50	$244.31	$307.52
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $279.20 / $349.01 / $500.78	Professional		$279.20	$349.01	$500.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $400.62 / $400.62 / $400.62	Professional		$400.62	$400.62	$400.62
United Facility/Professional Facility Modifier Low / Median / High Price $150.32 / $220.01 / $290.45	Facility		$150.32	$220.01	$290.45
United Facility/Professional Professional Modifier Low / Median / High Price $195.62 / $249.83 / $388.27	Professional		$195.62	$249.83	$388.27
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $291.27 / $291.27 / $500.78	Professional		$291.27	$291.27	$500.78