Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $271.89 / $292.41 / $335.01	Facility		$271.89	$292.41	$335.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $271.89 / $335.01 / $473.99	Professional		$271.89	$335.01	$473.99
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $238.82 / $477.63 / $573.16	Professional		$238.82	$477.63	$573.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $397.94 / $397.94 / $397.94	Facility		$397.94	$397.94	$397.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $290.50 / $290.50 / $403.11	Professional		$290.50	$290.50	$403.11
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $220.64 / $423.94 / $423.94	Facility		$220.64	$423.94	$423.94
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $303.52 / $423.94 / $636.84	Professional		$303.52	$423.94	$636.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $123.46 / $189.95 / $208.94	Professional		$123.46	$189.95	$208.94
United Facility/Professional Professional Modifier Low / Median / High Price $273.47 / $317.70 / $478.70	Professional		$273.47	$317.70	$478.70
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $189.95 / $189.95 / $385.43	Professional		$189.95	$189.95	$385.43