Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $185.59 / $199.60 / $228.68	Facility		$185.59	$199.60	$228.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $185.59 / $228.68 / $323.54	Professional		$185.59	$228.68	$323.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $163.01 / $326.02 / $391.23	Professional		$163.01	$326.02	$391.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $281.20 / $281.20 / $281.20	Facility		$281.20	$281.20	$281.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $205.28 / $205.28 / $281.20	Professional		$205.28	$205.28	$281.20
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $150.63 / $289.36 / $289.36	Facility		$150.63	$289.36	$289.36
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $207.18 / $289.36 / $434.70	Professional		$207.18	$289.36	$434.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $61.56 / $94.71 / $104.18	Professional		$61.56	$94.71	$104.18
United Facility/Professional Professional Modifier Low / Median / High Price $186.67 / $216.86 / $326.75	Professional		$186.67	$216.86	$326.75
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $94.71 / $94.71 / $263.04	Professional		$94.71	$94.71	$263.04