Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $977.24 / $1,288.25	Facility		$549.54	$977.24	$1,288.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $549.54 / $758.58	Professional		$549.54	$549.54	$758.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,071.52 / $1,071.52	Professional		$1,071.52	$1,071.52	$1,071.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $549.54 / $831.76	Facility		$512.86	$549.54	$831.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $549.54 / $549.54	Professional		$549.54	$549.54	$549.54
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $549.54 / $575.44	Facility		$549.54	$549.54	$575.44
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $549.54 / $549.54	Professional		$275.42	$549.54	$549.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $776.25 / $1,202.26	Professional		$707.95	$776.25	$1,202.26
United Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $630.96 / $1,122.02	Facility		$575.44	$630.96	$1,122.02
United Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $575.44 / $676.08	Professional		$549.54	$575.44	$676.08
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $549.54 / $575.44	Professional		$549.54	$549.54	$575.44