Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $524.81 / $602.56	Facility		$489.78	$524.81	$602.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $616.60 / $851.14	Professional		$489.78	$616.60	$851.14
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $870.96 / $1,047.13	Professional		$741.31	$870.96	$1,047.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $891.25 / $891.25	Facility		$891.25	$891.25	$891.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $660.69 / $891.25	Professional		$660.69	$660.69	$891.25
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $707.95 / $1,174.90	Professional		$257.04	$707.95	$1,174.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $616.60 / $758.58	Professional		$398.11	$616.60	$758.58
United Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $831.76 / $1,148.15	Facility		$501.19	$831.76	$1,148.15
United Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $575.44 / $831.76	Professional		$489.78	$575.44	$831.76
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $616.60 / $1,174.90	Professional		$616.60	$616.60	$1,174.90