Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $668.00 / $4,729.00 / $11,576.00	Facility		$668.00	$4,729.00	$11,576.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.98 / $140.26 / $156.88	Professional		$86.98	$140.26	$156.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $271.12 / $271.12 / $271.12	Professional		$271.12	$271.12	$271.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $163.60 / $1,869.74 / $4,939.00	Facility		$163.60	$1,869.74	$4,939.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $327.30 / $679.76 / $679.76	Professional		$327.30	$679.76	$679.76
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $1,651.70 / $2,249.46 / $4,215.77	Facility		$1,651.70	$2,249.46	$4,215.77
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $64.01 / $139.07 / $152.41	Professional		$64.01	$139.07	$152.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $50.00 / $259.45	Professional		$50.00	$50.00	$259.45
United Facility/Professional Facility Modifier Low / Median / High Price $659.00 / $3,514.00 / $6,550.00	Facility		$659.00	$3,514.00	$6,550.00
United Facility/Professional Professional Modifier Low / Median / High Price $111.52 / $152.41 / $269.02	Professional		$111.52	$152.41	$269.02
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $158.33 / $158.33 / $158.33	Professional		$158.33	$158.33	$158.33