Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $557.22 / $599.27 / $686.58	Facility		$557.22	$599.27	$686.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $557.22 / $668.23 / $971.41	Professional		$557.22	$668.23	$971.41
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $848.35 / $978.87 / $978.87	Professional		$848.35	$978.87	$978.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $724.63 / $724.63 / $724.63	Facility		$724.63	$724.63	$724.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $528.98 / $528.98 / $772.49	Professional		$528.98	$528.98	$772.49
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $488.36 / $868.81 / $868.81	Facility		$488.36	$868.81	$868.81
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $697.65 / $872.06 / $1,305.16	Professional		$697.65	$872.06	$1,305.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,044.12 / $1,044.12 / $1,044.12	Professional		$1,044.12	$1,044.12	$1,044.12
United Facility/Professional Professional Modifier Low / Median / High Price $560.47 / $651.13 / $871.68	Professional		$560.47	$651.13	$871.68
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $779.93 / $779.93 / $1,305.16	Professional		$779.93	$779.93	$1,305.16