Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $724.44 / $933.25	Facility		$181.97	$724.44	$933.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $208.93 / $316.23	Professional		$169.82	$208.93	$316.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $309.03 / $323.59	Professional		$295.12	$309.03	$323.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $295.12 / $478.63	Facility		$263.03	$295.12	$478.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $213.80 / $295.12	Professional		$213.80	$213.80	$295.12
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $169.82 / $245.47	Facility		$169.82	$169.82	$245.47
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $239.88 / $407.38	Professional		$89.13	$239.88	$407.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $158.49 / $181.97	Professional		$102.33	$158.49	$181.97
United Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $281.84 / $398.11	Facility		$169.82	$281.84	$398.11
United Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $199.53 / $302.00	Professional		$169.82	$199.53	$302.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $158.49 / $407.38	Professional		$158.49	$158.49	$407.38