Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $733.67 / $1,593.11 / $5,628.38	Facility		$733.67	$1,593.11	$5,628.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $733.67 / $734.15 / $880.40	Professional		$733.67	$734.15	$880.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $599.37 / $734.15 / $880.98	Professional		$599.37	$734.15	$880.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $692.14 / $733.67 / $878.83	Facility		$692.14	$733.67	$878.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $733.67 / $733.67 / $733.67	Professional		$733.67	$733.67	$733.67
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $207.45 / $733.67 / $733.67	Facility		$207.45	$733.67	$733.67
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $366.84 / $733.67 / $733.67	Professional		$366.84	$733.67	$733.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $38.38 / $1,050.66 / $1,648.49	Professional		$38.38	$1,050.66	$1,648.49
United Facility/Professional Professional Modifier Low / Median / High Price $733.67 / $777.69 / $821.71	Professional		$733.67	$777.69	$821.71
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $733.67 / $734.15 / $734.15	Professional		$733.67	$734.15	$734.15