Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $825.61 / $887.92 / $1,017.28	Facility		$825.61	$887.92	$1,017.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $825.61 / $1,017.28 / $1,439.31	Professional		$825.61	$1,017.28	$1,439.31
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,382.60 / $1,450.35 / $1,450.35	Professional		$1,382.60	$1,450.35	$1,450.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,226.77 / $1,226.77 / $1,226.77	Facility		$1,226.77	$1,226.77	$1,226.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $895.54 / $895.54 / $1,226.77	Professional		$895.54	$895.54	$1,226.77
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $669.76 / $1,287.30 / $1,287.30	Facility		$669.76	$1,287.30	$1,287.30
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $921.68 / $1,287.30 / $1,933.80	Professional		$921.68	$1,287.30	$1,933.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $642.70 / $988.77 / $1,087.64	Professional		$642.70	$988.77	$1,087.64
United Facility/Professional Professional Modifier Low / Median / High Price $830.44 / $964.75 / $1,453.59	Professional		$830.44	$964.75	$1,453.59
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $988.77 / $988.77 / $1,170.16	Professional		$988.77	$988.77	$1,170.16