Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $551.00 / $3,751.00 / $11,024.00	Facility		$551.00	$3,751.00	$11,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $251.75 / $870.21 / $1,488.71	Professional		$251.75	$870.21	$1,488.71
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $183.93 / $183.93 / $948.94	Professional		$183.93	$183.93	$948.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $248.97 / $262.07 / $459.52	Facility		$248.97	$262.07	$459.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $279.85 / $746.35 / $1,938.74	Professional		$279.85	$746.35	$1,938.74
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $50.91 / $54.30 / $58.72	Facility		$50.91	$54.30	$58.72
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $289.49 / $674.53 / $1,335.46	Professional		$289.49	$674.53	$1,335.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $657.24 / $1,039.87 / $1,695.99	Professional		$657.24	$1,039.87	$1,695.99
United Facility/Professional Facility Modifier Low / Median / High Price $351.00 / $1,916.00 / $4,970.00	Facility		$351.00	$1,916.00	$4,970.00
United Facility/Professional Professional Modifier Low / Median / High Price $907.15 / $1,288.16 / $2,411.94	Professional		$907.15	$1,288.16	$2,411.94
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $204.77 / $785.12 / $785.12	Professional		$204.77	$785.12	$785.12