Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $329.00 / $1,450.00 / $2,600.00	Facility		$329.00	$1,450.00	$2,600.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $250.00 / $400.00 / $600.00	Professional		$250.00	$400.00	$600.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $247.68 / $247.68 / $247.68	Professional		$247.68	$247.68	$247.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $128.44 / $358.59 / $630.00	Facility		$128.44	$358.59	$630.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $305.13 / $542.16 / $1,007.74	Professional		$305.13	$542.16	$1,007.74
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $412.88 / $475.44 / $500.46	Facility		$412.88	$475.44	$500.46
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $350.32 / $507.12 / $719.42	Professional		$350.32	$507.12	$719.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $127.44 / $250.66 / $499.73	Professional		$127.44	$250.66	$499.73
United Facility/Professional Facility Modifier Low / Median / High Price $524.34 / $524.34 / $1,179.77	Facility		$524.34	$524.34	$1,179.77
United Facility/Professional Professional Modifier Low / Median / High Price $348.18 / $408.60 / $826.86	Professional		$348.18	$408.60	$826.86
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $223.68 / $223.68 / $223.68	Professional		$223.68	$223.68	$223.68