Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $436.52 / $489.78	Facility		$398.11	$436.52	$489.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $501.19 / $707.95	Professional		$398.11	$501.19	$707.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $707.95 / $954.99	Professional		$616.60	$707.95	$954.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $588.84 / $707.95	Facility		$588.84	$588.84	$707.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $426.58 / $588.84	Professional		$426.58	$426.58	$588.84
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $323.59 / $467.74	Facility		$323.59	$323.59	$467.74
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $575.44 / $954.99	Professional		$213.80	$575.44	$954.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $616.60 / $776.25	Professional		$398.11	$616.60	$776.25
United Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $707.95 / $933.25	Facility		$389.05	$707.95	$933.25
United Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $467.74 / $707.95	Professional		$407.38	$467.74	$707.95
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $616.60 / $954.99	Professional		$616.60	$616.60	$954.99