Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $151.36 / $173.78	Facility		$141.25	$151.36	$173.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $173.78 / $257.04	Professional		$141.25	$173.78	$257.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $257.04 / $338.84	Professional		$199.53	$257.04	$338.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $208.93 / $251.19	Facility		$208.93	$208.93	$251.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $151.36 / $208.93	Professional		$151.36	$151.36	$208.93
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $114.82 / $165.96	Facility		$114.82	$114.82	$165.96
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $204.17 / $338.84	Professional		$75.86	$204.17	$338.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $154.88 / $194.98	Professional		$102.33	$154.88	$194.98
United Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $251.19 / $331.13	Facility		$151.36	$251.19	$331.13
United Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $165.96 / $251.19	Professional		$144.54	$165.96	$251.19
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $154.88 / $338.84	Professional		$154.88	$154.88	$338.84