Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $307.00 / $307.00 / $307.00	Facility		$307.00	$307.00	$307.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,373.77 / $1,373.77 / $2,054.52	Professional		$1,373.77	$1,373.77	$2,054.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,395.81 / $1,395.81 / $1,395.81	Professional		$1,395.81	$1,395.81	$1,395.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $309.56 / $1,583.60 / $2,449.09	Facility		$309.56	$1,583.60	$2,449.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,063.00 / $2,330.23 / $4,342.10	Professional		$1,063.00	$2,330.23	$4,342.10
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $697.49 / $996.41 / $1,043.33	Professional		$697.49	$996.41	$1,043.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $648.94 / $892.29 / $1,203.01	Professional		$648.94	$892.29	$1,203.01
United Facility/Professional Professional Modifier Low / Median / High Price $91.22 / $769.09 / $1,518.17	Professional		$91.22	$769.09	$1,518.17
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $779.98 / $779.98 / $779.98	Professional		$779.98	$779.98	$779.98