Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $316.67 / $383.00 / $481.92	Facility		$316.67	$383.00	$481.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $316.67 / $423.74 / $771.25	Professional		$316.67	$423.74	$771.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $250.00 / $515.92 / $634.99	Professional		$250.00	$515.92	$634.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $395.55 / $568.25 / $945.72	Professional		$395.55	$568.25	$945.72
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $1,240.00 / $2,689.00 / $6,696.00	Facility		$1,240.00	$2,689.00	$6,696.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $351.80 / $420.66 / $747.93	Professional		$351.80	$420.66	$747.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $479.40 / $659.17 / $877.87	Professional		$479.40	$659.17	$877.87
United Facility/Professional Facility Modifier Low / Median / High Price $677.00 / $5,350.00 / $13,093.00	Facility		$677.00	$5,350.00	$13,093.00
United Facility/Professional Professional Modifier Low / Median / High Price $381.57 / $555.19 / $1,055.17	Professional		$381.57	$555.19	$1,055.17
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $359.44 / $468.21 / $468.21	Professional		$359.44	$468.21	$468.21