Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $250.80 / $250.80 / $397.12	Facility		$250.80	$250.80	$397.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $250.80 / $299.74 / $454.77	Professional		$250.80	$299.74	$454.77
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $80.00 / $80.00 / $361.97	Professional		$80.00	$80.00	$361.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $231.29 / $1,267.53 / $1,518.64	Professional		$231.29	$1,267.53	$1,518.64
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $343.18 / $670.78 / $1,026.35	Facility		$343.18	$670.78	$1,026.35
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $47.51 / $111.99 / $152.49	Professional		$47.51	$111.99	$152.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $40.00 / $50.00	Professional		$40.00	$40.00	$50.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $95.88 / $95.88 / $95.88	Professional		$95.88	$95.88	$95.88