Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $412.09 / $505.66 / $865.85	Facility		$412.09	$505.66	$865.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $421.38 / $732.13 / $929.51	Professional		$421.38	$732.13	$929.51
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $39.78 / $39.78 / $81.00	Professional		$39.78	$39.78	$81.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.00 / $64.00 / $1,017.80	Facility		$64.00	$64.00	$1,017.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $750.60 / $750.60 / $750.60	Professional		$750.60	$750.60	$750.60
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $101.92 / $1,326.08 / $2,621.85	Facility		$101.92	$1,326.08	$2,621.85
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $788.57 / $854.22 / $906.93	Professional		$788.57	$854.22	$906.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $128.05 / $182.93 / $228.66	Professional		$128.05	$182.93	$228.66
United Facility/Professional Professional Modifier Low / Median / High Price $53.88 / $77.93 / $199.28	Professional		$53.88	$77.93	$199.28
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $700.20 / $700.20 / $700.20	Professional		$700.20	$700.20	$700.20