Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $704.07 / $1,143.88 / $1,507.00	Facility		$704.07	$1,143.88	$1,507.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $575.23 / $758.76 / $1,444.03	Professional		$575.23	$758.76	$1,444.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $750.00 / $850.00 / $1,236.83	Professional		$750.00	$850.00	$1,236.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $906.54 / $906.54 / $906.54	Facility		$906.54	$906.54	$906.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $661.77 / $661.77 / $988.03	Professional		$661.77	$661.77	$988.03
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $830.53 / $830.53 / $830.53	Facility		$830.53	$830.53	$830.53
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $830.53 / $1,101.92 / $1,649.12	Professional		$830.53	$1,101.92	$1,649.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,319.29 / $1,319.29 / $1,319.29	Professional		$1,319.29	$1,319.29	$1,319.29
United Facility/Professional Professional Modifier Low / Median / High Price $572.27 / $782.92 / $904.19	Professional		$572.27	$782.92	$904.19
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $765.53 / $765.53 / $1,649.12	Professional		$765.53	$765.53	$1,649.12