Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $165.96 / $190.55	Facility		$151.36	$165.96	$190.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $181.97 / $269.15	Professional		$154.88	$181.97	$269.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $275.42 / $275.42	Professional		$275.42	$275.42	$275.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $229.09 / $269.15	Facility		$229.09	$229.09	$269.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $169.82 / $229.09	Professional		$169.82	$169.82	$229.09
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $218.78 / $371.54	Professional		$81.28	$218.78	$371.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $288.40 / $295.12	Professional		$288.40	$288.40	$295.12
United Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $239.88 / $363.08	Facility		$144.54	$239.88	$363.08
United Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $177.83 / $239.88	Professional		$154.88	$177.83	$239.88
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $194.98 / $371.54	Professional		$194.98	$194.98	$371.54