Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $355.61 / $736.61 / $3,319.02	Facility		$355.61	$736.61	$3,319.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $264.85 / $355.61 / $480.81	Professional		$264.85	$355.61	$480.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $365.33 / $365.33 / $365.33	Professional		$365.33	$365.33	$365.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $440.51 / $440.51 / $440.51	Facility		$440.51	$440.51	$440.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $440.51 / $440.51 / $440.51	Professional		$440.51	$440.51	$440.51
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $511.11 / $32,656.25 / $33,962.50	Facility		$511.11	$32,656.25	$33,962.50
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $399.05 / $511.11 / $511.11	Professional		$399.05	$511.11	$511.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $50.00 / $714.30	Professional		$50.00	$50.00	$714.30
United Facility/Professional Professional Modifier Low / Median / High Price $520.75 / $520.75 / $520.75	Professional		$520.75	$520.75	$520.75
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $422.99 / $422.99 / $422.99	Professional		$422.99	$422.99	$422.99