Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $825.00 / $6,024.00 / $12,240.00	Facility		$825.00	$6,024.00	$12,240.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $204.54 / $777.40 / $1,022.57	Professional		$204.54	$777.40	$1,022.57
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $919.09 / $919.09 / $919.09	Professional		$919.09	$919.09	$919.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $500.00 / $2,530.00	Facility		$400.00	$500.00	$2,530.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,133.27 / $1,357.79 / $4,119.12	Professional		$1,133.27	$1,357.79	$4,119.12
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $374.39 / $784.43 / $894.01	Professional		$374.39	$784.43	$894.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $40.00 / $50.00	Professional		$40.00	$40.00	$50.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,788.00 / $7,558.00 / $12,040.00	Facility		$1,788.00	$7,558.00	$12,040.00
United Facility/Professional Professional Modifier Low / Median / High Price $248.11 / $589.16 / $1,128.71	Professional		$248.11	$589.16	$1,128.71
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $862.39 / $862.39 / $862.39	Professional		$862.39	$862.39	$862.39