Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $561.27 / $694.04 / $883.60	Facility		$561.27	$694.04	$883.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $561.27 / $745.93 / $1,265.82	Professional		$561.27	$745.93	$1,265.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $748.41 / $945.97 / $1,325.40	Professional		$748.41	$945.97	$1,325.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $699.01 / $1,027.06 / $1,704.98	Professional		$699.01	$1,027.06	$1,704.98
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 $628.14 / $771.69 / $1,371.34	Professional		$628.14	$771.69	$1,371.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $881.22 / $1,205.82 / $1,608.56	Professional		$881.22	$1,205.82	$1,608.56
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 $680.60 / $976.44 / $1,779.49	Professional		$680.60	$976.44	$1,779.49
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $660.07 / $857.19 / $857.19	Professional		$660.07	$857.19	$857.19