Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.36 / $1,173.00 / $1,816.60	Facility		$107.36	$1,173.00	$1,816.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $118.51 / $196.93 / $266.83	Professional		$118.51	$196.93	$266.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $166.76 / $242.51 / $323.52	Professional		$166.76	$242.51	$323.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $285.68 / $963.61 / $1,087.95	Facility		$285.68	$963.61	$1,087.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $171.21 / $242.38 / $531.70	Professional		$171.21	$242.38	$531.70
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $526.65 / $1,029.38 / $1,575.08	Facility		$526.65	$1,029.38	$1,575.08
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $66.00 / $150.00 / $156.00	Professional		$66.00	$150.00	$156.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $101.96 / $130.54 / $229.57	Professional		$101.96	$130.54	$229.57
United Facility/Professional Professional Modifier Low / Median / High Price $117.00 / $173.63 / $355.39	Professional		$117.00	$173.63	$355.39
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $101.96 / $101.96 / $155.47	Professional		$101.96	$101.96	$155.47