Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.51 / $2,354.00 / $5,091.22	Facility		$158.51	$2,354.00	$5,091.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.51 / $224.50 / $293.24	Professional		$158.51	$224.50	$293.24
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $223.44 / $258.41 / $280.00	Professional		$223.44	$258.41	$280.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $311.35 / $963.61 / $1,087.95	Facility		$311.35	$963.61	$1,087.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $196.52 / $282.50 / $676.72	Professional		$196.52	$282.50	$676.72
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 $88.00 / $200.00 / $208.00	Professional		$88.00	$200.00	$208.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $135.94 / $174.05 / $306.08	Professional		$135.94	$174.05	$306.08
United Facility/Professional Professional Modifier Low / Median / High Price $156.00 / $228.60 / $455.64	Professional		$156.00	$228.60	$455.64
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $135.94 / $135.94 / $207.29	Professional		$135.94	$135.94	$207.29