Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $1,584.89 / $1,819.70	Facility		$1,479.11	$1,584.89	$1,819.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,819.70 / $2,570.40	Professional		$1,479.11	$1,819.70	$2,570.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $2,630.27 / $2,630.27	Professional		$2,630.27	$2,630.27	$2,630.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $2,570.40 / $2,570.40	Facility		$2,570.40	$2,570.40	$2,570.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $1,862.09 / $2,570.40	Professional		$1,862.09	$1,862.09	$2,570.40
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,174.90 / $1,698.24	Facility		$1,174.90	$1,174.90	$1,698.24
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $2,089.30 / $3,467.37	Professional		$776.25	$2,089.30	$3,467.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,513.56 / $1,905.46	Professional		$1,000.00	$1,513.56	$1,905.46
United Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $2,398.83 / $3,388.44	Facility		$1,445.44	$2,398.83	$3,388.44
United Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,698.24 / $2,398.83	Professional		$1,479.11	$1,698.24	$2,398.83
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,513.56 / $3,467.37	Professional		$1,513.56	$1,513.56	$3,467.37