Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $473.62 / $1,299.20 / $3,294.40	Facility		$473.62	$1,299.20	$3,294.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $306.00 / $580.00 / $939.60	Professional		$306.00	$580.00	$939.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $696.00 / $696.00 / $696.00	Professional		$696.00	$696.00	$696.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $388.86 / $544.39 / $4,361.43	Facility		$388.86	$544.39	$4,361.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $579.40 / $1,170.49 / $1,969.67	Professional		$579.40	$1,170.49	$1,969.67
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $472.89 / $696.00 / $1,053.45	Professional		$472.89	$696.00	$1,053.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $402.56 / $413.85 / $564.34	Professional		$402.56	$413.85	$564.34
United Facility/Professional Facility Modifier Low / Median / High Price $1,740.00 / $1,740.00 / $1,740.00	Facility		$1,740.00	$1,740.00	$1,740.00
United Facility/Professional Professional Modifier Low / Median / High Price $406.00 / $487.20 / $1,817.56	Professional		$406.00	$487.20	$1,817.56
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,160.00 / $1,160.00 / $1,160.00	Professional		$1,160.00	$1,160.00	$1,160.00