Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $198.56 / $244.66 / $490.64	Facility		$198.56	$244.66	$490.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $192.87 / $244.66 / $407.24	Professional		$192.87	$244.66	$407.24
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $277.10 / $465.08 / $697.62	Professional		$277.10	$465.08	$697.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $293.31 / $293.31 / $293.31	Facility		$293.31	$293.31	$293.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $214.12 / $214.12 / $394.13	Professional		$214.12	$214.12	$394.13
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $161.13 / $217.53 / $285.61	Facility		$161.13	$217.53	$285.61
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $230.15 / $311.00 / $465.08	Professional		$230.15	$311.00	$465.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $168.45 / $259.16 / $285.07	Professional		$168.45	$259.16	$285.07
United Facility/Professional Facility Modifier Low / Median / High Price $580.80 / $580.80 / $580.80	Facility		$580.80	$580.80	$580.80
United Facility/Professional Professional Modifier Low / Median / High Price $181.67 / $232.03 / $311.77	Professional		$181.67	$232.03	$311.77
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $259.16 / $259.16 / $260.98	Professional		$259.16	$259.16	$260.98