Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $194.39 / $209.06 / $239.52	Facility		$194.39	$209.06	$239.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.39 / $225.47 / $338.90	Professional		$194.39	$225.47	$338.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $295.95 / $341.50 / $341.50	Professional		$295.95	$341.50	$341.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $293.77 / $293.77 / $293.77	Facility		$293.77	$293.77	$293.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $214.45 / $214.45 / $302.36	Professional		$214.45	$214.45	$302.36
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $157.63 / $303.10 / $303.10	Facility		$157.63	$303.10	$303.10
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $217.01 / $303.10 / $455.33	Professional		$217.01	$303.10	$455.33
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 Facility Modifier Low / Median / High Price $564.00 / $564.00 / $564.00	Facility		$564.00	$564.00	$564.00
United Facility/Professional Professional Modifier Low / Median / High Price $195.53 / $227.15 / $317.95	Professional		$195.53	$227.15	$317.95
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $189.95 / $189.95 / $255.97	Professional		$189.95	$189.95	$255.97