Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $137.11 / $285.00 / $586.12	Facility		$137.11	$285.00	$586.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.71 / $157.08 / $261.47	Professional		$123.71	$157.08	$261.47
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $177.92 / $177.92 / $177.92	Professional		$177.92	$177.92	$177.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $175.00 / $175.00 / $175.00	Facility		$175.00	$175.00	$175.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.75 / $127.75 / $231.60	Professional		$127.75	$127.75	$231.60
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $103.46 / $139.66 / $183.38	Facility		$103.46	$139.66	$183.38
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $159.61 / $199.51 / $298.61	Professional		$159.61	$199.51	$298.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $238.88 / $238.88 / $238.88	Professional		$238.88	$238.88	$238.88
United Facility/Professional Facility Modifier Low / Median / High Price $353.74 / $353.74 / $353.74	Facility		$353.74	$353.74	$353.74
United Facility/Professional Professional Modifier Low / Median / High Price $119.51 / $145.86 / $189.88	Professional		$119.51	$145.86	$189.88
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $159.35 / $159.35 / $298.61	Professional		$159.35	$159.35	$298.61