Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $958.65 / $4,641.00 / $6,434.16	Facility		$958.65	$4,641.00	$6,434.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $924.00 / $958.65 / $981.75	Professional		$924.00	$958.65	$981.75
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $924.00 / $2,316.00 / $2,316.00	Professional		$924.00	$2,316.00	$2,316.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $981.75 / $981.75 / $1,007.34	Facility		$981.75	$981.75	$1,007.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $981.75 / $981.75 / $981.75	Professional		$981.75	$981.75	$981.75
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $1,062.59 / $1,062.59 / $1,062.59	Facility		$1,062.59	$1,062.59	$1,062.59
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $892.50 / $1,062.59 / $1,062.59	Professional		$892.50	$1,062.59	$1,062.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,122.27 / $1,122.27 / $1,902.05	Professional		$1,122.27	$1,122.27	$1,902.05
United Facility/Professional Professional Modifier Low / Median / High Price $962.50 / $962.50 / $1,010.63	Professional		$962.50	$962.50	$1,010.63
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,126.35 / $1,126.35 / $1,126.35	Professional		$1,126.35	$1,126.35	$1,126.35