Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.21 / $156.47 / $179.28	Facility		$141.21	$156.47	$179.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.21 / $179.28 / $298.43	Professional		$141.21	$179.28	$298.43
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $203.06 / $255.61 / $255.61	Professional		$203.06	$255.61	$255.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $229.50 / $229.50 / $243.27	Facility		$229.50	$229.50	$243.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $167.54 / $167.54 / $244.66	Professional		$167.54	$167.54	$244.66
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $118.08 / $159.41 / $209.28	Facility		$118.08	$159.41	$209.28
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $162.44 / $211.00 / $340.81	Professional		$162.44	$211.00	$340.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $84.56 / $130.10 / $143.11	Professional		$84.56	$130.10	$143.11
United Facility/Professional Professional Modifier Low / Median / High Price $146.36 / $170.03 / $243.93	Professional		$146.36	$170.03	$243.93
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $130.10 / $130.10 / $204.18	Professional		$130.10	$130.10	$204.18