Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $247.37 / $263.05 / $386.59	Professional		$247.37	$263.05	$386.59
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $451.97 / $451.97 / $451.97	Professional		$451.97	$451.97	$451.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $333.25 / $333.25 / $440.85	Facility		$333.25	$333.25	$440.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $283.26 / $333.25 / $437.39	Professional		$283.26	$333.25	$437.39
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $416.70 / $416.70 / $416.70	Facility		$416.70	$416.70	$416.70
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $401.60 / $479.05 / $669.33	Professional		$401.60	$479.05	$669.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $265.02 / $397.53 / $441.70	Professional		$265.02	$397.53	$441.70
United Facility/Professional Professional Modifier Low / Median / High Price $218.69 / $274.02 / $407.19	Professional		$218.69	$274.02	$407.19
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $398.43 / $398.43 / $398.43	Professional		$398.43	$398.43	$398.43