Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $194.98 / $234.42	Facility		$10.00	$194.98	$234.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $229.09 / $426.58	Professional		$173.78	$229.09	$426.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $338.84 / $524.81	Professional		$281.84	$338.84	$524.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $234.42 / $338.84	Facility		$234.42	$234.42	$338.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $173.78 / $234.42	Professional		$173.78	$173.78	$234.42
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $154.88 / $223.87	Facility		$154.88	$154.88	$223.87
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $275.42 / $457.09	Professional		$102.33	$275.42	$457.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $263.03 / $331.13	Professional		$169.82	$263.03	$331.13
United Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $186.21 / $363.08	Facility		$144.54	$186.21	$363.08
United Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $213.80 / $269.15	Professional		$169.82	$213.80	$269.15
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $263.03 / $457.09	Professional		$263.03	$263.03	$457.09