Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $288.40 / $331.13	Facility		$269.15	$288.40	$331.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $346.74 / $467.74	Professional		$269.15	$346.74	$467.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $489.78 / $602.56	Professional		$389.05	$489.78	$602.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $457.09 / $478.63	Facility		$457.09	$457.09	$478.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $338.84 / $457.09	Professional		$338.84	$338.84	$457.09
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $218.78 / $316.23	Facility		$218.78	$218.78	$316.23
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $389.05 / $645.65	Professional		$144.54	$389.05	$645.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $138.04 / $173.78	Professional		$91.20	$138.04	$173.78
United Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $457.09 / $630.96	Facility		$275.42	$457.09	$630.96
United Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $316.23 / $457.09	Professional		$275.42	$316.23	$457.09
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $138.04 / $645.65	Professional		$138.04	$138.04	$645.65