Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $661.97 / $733.60 / $840.48	Facility		$661.97	$733.60	$840.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $634.79 / $772.21 / $1,399.02	Professional		$634.79	$772.21	$1,399.02
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,437.95 / $1,437.95 / $1,437.95	Professional		$1,437.95	$1,437.95	$1,437.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,115.23 / $1,115.23 / $1,115.23	Facility		$1,115.23	$1,115.23	$1,115.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $814.12 / $814.12 / $1,115.23	Professional		$814.12	$814.12	$1,115.23
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $981.14 / $981.14 / $981.14	Facility		$981.14	$981.14	$981.14
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $854.04 / $1,067.55 / $1,597.72	Professional		$854.04	$1,067.55	$1,597.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,278.17 / $1,278.17 / $1,278.17	Professional		$1,278.17	$1,278.17	$1,278.17
United Facility/Professional Professional Modifier Low / Median / High Price $639.46 / $780.45 / $1,016.03	Professional		$639.46	$780.45	$1,016.03
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $929.30 / $929.30 / $1,597.72	Professional		$929.30	$929.30	$1,597.72