Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $407.61 / $438.38 / $502.24	Facility		$407.61	$438.38	$502.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $407.61 / $502.24 / $710.61	Professional		$407.61	$502.24	$710.61
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $716.06 / $716.06 / $859.28	Professional		$716.06	$716.06	$859.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $596.58 / $596.58 / $596.58	Facility		$596.58	$596.58	$596.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $435.50 / $435.50 / $596.58	Professional		$435.50	$435.50	$596.58
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $330.68 / $635.54 / $635.54	Facility		$330.68	$635.54	$635.54
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $455.05 / $635.54 / $954.75	Professional		$455.05	$635.54	$954.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $185.71 / $285.70 / $314.28	Professional		$185.71	$285.70	$314.28
United Facility/Professional Facility Modifier Low / Median / High Price $380.36 / $629.41 / $717.65	Facility		$380.36	$629.41	$717.65
United Facility/Professional Professional Modifier Low / Median / High Price $410.00 / $476.31 / $717.50	Professional		$410.00	$476.31	$717.50
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $285.70 / $285.70 / $577.73	Professional		$285.70	$285.70	$577.73