Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $274.67 / $295.39 / $338.43	Facility		$274.67	$295.39	$338.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $274.67 / $338.43 / $478.84	Professional		$274.67	$338.43	$478.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $241.26 / $482.51 / $579.02	Professional		$241.26	$482.51	$579.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $394.91 / $394.91 / $394.91	Facility		$394.91	$394.91	$394.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $288.27 / $288.27 / $420.99	Professional		$288.27	$288.27	$420.99
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $428.26 / $428.26 / $428.26	Facility		$428.26	$428.26	$428.26
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $306.62 / $428.26 / $643.35	Professional		$306.62	$428.26	$643.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $222.04 / $341.60 / $375.76	Professional		$222.04	$341.60	$375.76
United Facility/Professional Professional Modifier Low / Median / High Price $276.27 / $320.95 / $475.05	Professional		$276.27	$320.95	$475.05
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $341.60 / $341.60 / $382.42	Professional		$341.60	$341.60	$382.42