Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $800.39 / $887.00 / $1,016.23	Facility		$800.39	$887.00	$1,016.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $800.39 / $1,009.97 / $1,691.55	Professional		$800.39	$1,009.97	$1,691.55
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,150.98 / $1,150.98 / $1,150.98	Professional		$1,150.98	$1,150.98	$1,150.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,207.09 / $1,207.09 / $1,207.09	Facility		$1,207.09	$1,207.09	$1,207.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $881.18 / $881.18 / $1,222.81	Professional		$881.18	$881.18	$1,222.81
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $669.20 / $99,999.99 / $99,999.99	Facility		$669.20	$99,999.99	$99,999.99
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $871.06 / $1,357.58 / $1,931.80	Professional		$871.06	$1,357.58	$1,931.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $680.92 / $1,047.58 / $1,152.33	Professional		$680.92	$1,047.58	$1,152.33
United Facility/Professional Professional Modifier Low / Median / High Price $819.19 / $963.76 / $1,382.63	Professional		$819.19	$963.76	$1,382.63
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,047.58 / $1,047.58 / $1,157.34	Professional		$1,047.58	$1,047.58	$1,157.34