Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $928.81 / $998.91 / $1,144.44	Facility		$928.81	$998.91	$1,144.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $928.81 / $1,113.82 / $1,619.23	Professional		$928.81	$1,113.82	$1,619.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $815.83 / $1,555.44 / $1,631.66	Professional		$815.83	$1,555.44	$1,631.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,207.83 / $1,207.83 / $1,207.83	Facility		$1,207.83	$1,207.83	$1,207.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $881.72 / $881.72 / $1,287.59	Professional		$881.72	$881.72	$1,287.59
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $753.48 / $1,448.21 / $1,448.21	Facility		$753.48	$1,448.21	$1,448.21
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $1,143.67 / $1,448.21 / $2,175.54	Professional		$1,143.67	$1,448.21	$2,175.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $743.48 / $1,143.82 / $1,258.20	Professional		$743.48	$1,143.82	$1,258.20
United Facility/Professional Facility Modifier Low / Median / High Price $1,055.55 / $1,055.55 / $1,055.55	Facility		$1,055.55	$1,055.55	$1,055.55
United Facility/Professional Professional Modifier Low / Median / High Price $934.24 / $1,085.34 / $1,452.95	Professional		$934.24	$1,085.34	$1,452.95
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,143.82 / $1,143.82 / $1,169.66	Professional		$1,143.82	$1,143.82	$1,169.66