Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $668.39 / $989.78 / $4,109.06	Facility		$668.39	$989.78	$4,109.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $391.76 / $546.86 / $719.07	Professional		$391.76	$546.86	$719.07
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $288.62 / $288.62 / $455.72	Professional		$288.62	$288.62	$455.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $377.44 / $530.74 / $2,248.62	Facility		$377.44	$530.74	$2,248.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $379.33 / $784.60 / $1,289.85	Professional		$379.33	$784.60	$1,289.85
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $455.72 / $759.53 / $3,349.63	Professional		$455.72	$759.53	$3,349.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $455.72 / $501.29 / $829.41	Professional		$455.72	$501.29	$829.41
United Facility/Professional Professional Modifier Low / Median / High Price $34.60 / $319.00 / $648.40	Professional		$34.60	$319.00	$648.40
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $393.44 / $455.72 / $455.72	Professional		$393.44	$455.72	$455.72