Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $893.91 / $1,083.21 / $1,439.39	Facility		$893.91	$1,083.21	$1,439.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.10 / $976.84 / $1,245.97	Professional		$29.10	$976.84	$1,245.97
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,554.91 / $1,554.91 / $1,554.91	Professional		$1,554.91	$1,554.91	$1,554.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.61 / $46.61 / $46.61	Facility		$46.61	$46.61	$46.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,077.57 / $1,077.57 / $1,077.57	Professional		$1,077.57	$1,077.57	$1,077.57
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $476.66 / $970.16 / $1,292.64	Professional		$476.66	$970.16	$1,292.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,015.78 / $1,315.85 / $2,091.97	Professional		$1,015.78	$1,315.85	$2,091.97
United Facility/Professional Professional Modifier Low / Median / High Price $803.17 / $1,072.96 / $1,775.52	Professional		$803.17	$1,072.96	$1,775.52
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $28.71 / $999.64 / $999.64	Professional		$28.71	$999.64	$999.64