Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $157.21 / $213.12 / $767.00	Facility		$157.21	$213.12	$767.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $157.21 / $193.72 / $322.44	Professional		$157.21	$193.72	$322.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $219.40 / $331.41 / $331.41	Professional		$219.40	$331.41	$331.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $233.36 / $233.36 / $233.36	Facility		$233.36	$233.36	$233.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $170.35 / $170.35 / $322.80	Professional		$170.35	$170.35	$322.80
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $121.42 / $171.04 / $226.14	Facility		$121.42	$171.04	$226.14
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $173.46 / $226.14 / $368.23	Professional		$173.46	$226.14	$368.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $120.97 / $186.12 / $204.73	Professional		$120.97	$186.12	$204.73
United Facility/Professional Professional Modifier Low / Median / High Price $140.94 / $183.71 / $366.67	Professional		$140.94	$183.71	$366.67
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $186.12 / $186.12 / $218.71	Professional		$186.12	$186.12	$218.71