Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $503.84 / $558.36 / $639.70	Facility		$503.84	$558.36	$639.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $483.14 / $587.75 / $1,064.82	Professional		$483.14	$587.75	$1,064.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,094.45 / $1,094.45 / $1,094.45	Professional		$1,094.45	$1,094.45	$1,094.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $944.53 / $944.53 / $944.53	Facility		$944.53	$944.53	$944.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $689.51 / $689.51 / $944.53	Professional		$689.51	$689.51	$944.53
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $382.41 / $746.75 / $746.75	Facility		$382.41	$746.75	$746.75
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $650.02 / $746.75 / $1,216.05	Professional		$650.02	$746.75	$1,216.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $381.01 / $586.17 / $644.79	Professional		$381.01	$586.17	$644.79
United Facility/Professional Professional Modifier Low / Median / High Price $475.02 / $598.42 / $773.30	Professional		$475.02	$598.42	$773.30
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $586.17 / $586.17 / $647.30	Professional		$586.17	$586.17	$647.30