Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.14 / $126.59 / $382.41	Facility		$58.14	$126.59	$382.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.53 / $140.91 / $241.40	Professional		$109.53	$140.91	$241.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $179.19 / $206.76 / $206.76	Professional		$179.19	$206.76	$206.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $135.00 / $135.00 / $135.00	Facility		$135.00	$135.00	$135.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.55 / $98.55 / $212.00	Professional		$98.55	$98.55	$212.00
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $169.27 / $169.27 / $211.47	Facility		$169.27	$169.27	$211.47
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $140.55 / $175.69 / $275.68	Professional		$140.55	$175.69	$275.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $220.54 / $220.54 / $220.54	Professional		$220.54	$220.54	$220.54
United Facility/Professional Professional Modifier Low / Median / High Price $109.07 / $134.66 / $182.19	Professional		$109.07	$134.66	$182.19
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $148.53 / $148.53 / $275.68	Professional		$148.53	$148.53	$275.68