Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $291.91 / $313.94 / $359.69	Facility		$291.91	$313.94	$359.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $291.91 / $359.69 / $508.90	Professional		$291.91	$359.69	$508.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $256.39 / $512.80 / $512.80	Professional		$256.39	$512.80	$512.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $427.25 / $427.25 / $427.25	Facility		$427.25	$427.25	$427.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $311.89 / $311.89 / $455.47	Professional		$311.89	$311.89	$455.47
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $236.88 / $455.17 / $455.17	Facility		$236.88	$455.17	$455.17
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $325.89 / $455.17 / $683.74	Professional		$325.89	$455.17	$683.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $169.80 / $261.24 / $287.36	Professional		$169.80	$261.24	$287.36
United Facility/Professional Professional Modifier Low / Median / High Price $293.62 / $341.11 / $513.95	Professional		$293.62	$341.11	$513.95
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $261.24 / $261.24 / $413.75	Professional		$261.24	$261.24	$413.75