Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $229.57 / $246.90 / $282.87	Facility		$229.57	$246.90	$282.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $199.61 / $246.90 / $400.22	Professional		$199.61	$246.90	$400.22
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $201.65 / $403.29 / $403.29	Professional		$201.65	$403.29	$403.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $260.88 / $260.88 / $260.88	Facility		$260.88	$260.88	$260.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.44 / $190.44 / $260.88	Professional		$190.44	$190.44	$260.88
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $186.20 / $357.94 / $357.94	Facility		$186.20	$357.94	$357.94
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $256.27 / $357.94 / $537.72	Professional		$256.27	$357.94	$537.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $430.17 / $430.17 / $430.17	Professional		$430.17	$430.17	$430.17
United Facility/Professional Professional Modifier Low / Median / High Price $201.20 / $268.26 / $307.88	Professional		$201.20	$268.26	$307.88
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $321.33 / $321.33 / $537.72	Professional		$321.33	$321.33	$537.72