Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $683.27 / $757.21 / $903.52	Facility		$683.27	$757.21	$903.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $376.10 / $757.21 / $1,095.05	Professional		$376.10	$757.21	$1,095.05
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $955.35 / $955.35 / $955.35	Professional		$955.35	$955.35	$955.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $812.83 / $812.83	Facility		$812.83	$812.83	$812.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $593.37 / $593.37 / $901.18	Professional		$593.37	$593.37	$901.18
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $704.42 / $704.42 / $704.42	Facility		$704.42	$704.42	$704.42
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $539.09 / $898.49 / $1,290.74	Professional		$539.09	$898.49	$1,290.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $718.79 / $718.79 / $718.79	Professional		$718.79	$718.79	$718.79
United Facility/Professional Professional Modifier Low / Median / High Price $566.30 / $788.39 / $988.78	Professional		$566.30	$788.39	$988.78
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $742.43 / $742.43 / $898.49	Professional		$742.43	$742.43	$898.49