Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $324.72 / $349.22 / $400.11	Facility		$324.72	$349.22	$400.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $324.72 / $400.11 / $566.09	Professional		$324.72	$400.11	$566.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $285.22 / $570.44 / $684.52	Professional		$285.22	$570.44	$684.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $663.31 / $663.31 / $663.31	Facility		$663.31	$663.31	$663.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $484.22 / $484.22 / $663.31	Professional		$484.22	$484.22	$663.31
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $263.48 / $506.30 / $506.30	Facility		$263.48	$506.30	$506.30
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $362.50 / $506.30 / $760.58	Professional		$362.50	$506.30	$760.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $142.07 / $218.57 / $240.42	Professional		$142.07	$218.57	$240.42
United Facility/Professional Professional Modifier Low / Median / High Price $326.62 / $379.44 / $571.70	Professional		$326.62	$379.44	$571.70
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $218.57 / $218.57 / $460.39	Professional		$218.57	$218.57	$460.39