Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $763.93 / $1,214.63 / $3,931.90	Facility		$763.93	$1,214.63	$3,931.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,002.40 / $1,214.63 / $1,365.60	Professional		$1,002.40	$1,214.63	$1,365.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,206.13 / $1,206.13 / $1,206.13	Professional		$1,206.13	$1,206.13	$1,206.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,238.93 / $1,238.93 / $1,238.93	Facility		$1,238.93	$1,238.93	$1,238.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,238.93 / $1,238.93 / $1,238.93	Professional		$1,238.93	$1,238.93	$1,238.93
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $816.24 / $1,166.05 / $1,238.93	Facility		$816.24	$1,166.05	$1,238.93
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $1,238.93 / $1,238.93 / $1,238.93	Professional		$1,238.93	$1,238.93	$1,238.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $40.00 / $1,287.50	Professional		$40.00	$40.00	$1,287.50
United Facility/Professional Professional Modifier Low / Median / High Price $485.85 / $1,214.63 / $1,214.63	Professional		$485.85	$1,214.63	$1,214.63
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,214.63 / $1,214.63 / $1,287.51	Professional		$1,214.63	$1,214.63	$1,287.51