Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $420.94 / $1,721.05 / $9,736.00	Facility		$420.94	$1,721.05	$9,736.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $420.94 / $615.05 / $1,172.64	Professional		$420.94	$615.05	$1,172.64
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $504.33 / $684.55 / $1,033.32	Professional		$504.33	$684.55	$1,033.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21,144.00 / $28,236.00 / $33,037.00	Facility		$21,144.00	$28,236.00	$33,037.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $509.50 / $802.74 / $1,182.23	Professional		$509.50	$802.74	$1,182.23
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $441.29 / $472.81 / $831.64	Professional		$441.29	$472.81	$831.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $501.37 / $718.68 / $1,007.07	Professional		$501.37	$718.68	$1,007.07
United Facility/Professional Professional Modifier Low / Median / High Price $511.43 / $689.23 / $1,158.95	Professional		$511.43	$689.23	$1,158.95
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $376.54 / $376.54 / $376.54	Professional		$376.54	$376.54	$376.54