Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.98 / $206.37 / $236.44	Facility		$9.98	$206.37	$236.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $177.92 / $227.90 / $393.56	Professional		$177.92	$227.90	$393.56
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $267.79 / $292.14 / $353.94	Professional		$267.79	$292.14	$353.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $225.12 / $237.10 / $237.10	Facility		$225.12	$237.10	$237.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.08 / $173.08 / $240.18	Professional		$173.08	$173.08	$240.18
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $155.68 / $276.01 / $276.01	Facility		$155.68	$276.01	$276.01
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $214.22 / $278.00 / $449.45	Professional		$214.22	$278.00	$449.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $170.48 / $262.27 / $288.50	Professional		$170.48	$262.27	$288.50
United Facility/Professional Professional Modifier Low / Median / High Price $171.09 / $219.55 / $271.58	Professional		$171.09	$219.55	$271.58
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $262.27 / $262.27 / $262.27	Professional		$262.27	$262.27	$262.27