Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $130.57 / $645.19 / $2,155.69	Facility		$130.57	$645.19	$2,155.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $531.34 / $569.29 / $786.45	Professional		$531.34	$569.29	$786.45
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $455.43 / $455.43 / $474.41	Professional		$455.43	$455.43	$474.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $498.89 / $663.10 / $2,247.62	Facility		$498.89	$663.10	$2,247.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $383.58 / $712.82 / $1,288.64	Professional		$383.58	$712.82	$1,288.64
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $455.43 / $709.48 / $1,418.95	Professional		$455.43	$709.48	$1,418.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $455.43 / $500.97 / $1,002.91	Professional		$455.43	$500.97	$1,002.91
United Facility/Professional Facility Modifier Low / Median / High Price $759.05 / $759.05 / $1,138.58	Facility		$759.05	$759.05	$1,138.58
United Facility/Professional Professional Modifier Low / Median / High Price $265.67 / $336.98 / $1,021.68	Professional		$265.67	$336.98	$1,021.68
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $393.19 / $455.43 / $455.43	Professional		$393.19	$455.43	$455.43