Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $464.89 / $515.19 / $590.26	Facility		$464.89	$515.19	$590.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $466.47 / $590.26 / $982.51	Professional		$466.47	$590.26	$982.51
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,122.06 / $1,122.06 / $1,122.06	Professional		$1,122.06	$1,122.06	$1,122.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $700.00 / $700.00 / $773.33	Facility		$700.00	$700.00	$773.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $511.00 / $511.00 / $714.63	Professional		$511.00	$511.00	$714.63
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $388.64 / $689.06 / $689.06	Facility		$388.64	$689.06	$689.06
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $534.79 / $694.00 / $1,122.06	Professional		$534.79	$694.00	$1,122.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $395.76 / $608.87 / $669.75	Professional		$395.76	$608.87	$669.75
United Facility/Professional Facility Modifier Low / Median / High Price $480.00 / $480.00 / $480.00	Facility		$480.00	$480.00	$480.00
United Facility/Professional Professional Modifier Low / Median / High Price $462.92 / $548.10 / $735.52	Professional		$462.92	$548.10	$735.52
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $608.87 / $608.87 / $615.67	Professional		$608.87	$608.87	$615.67