Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $567.11 / $3,401.00 / $10,632.00	Facility		$567.11	$3,401.00	$10,632.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $470.60 / $600.38 / $885.66	Professional		$470.60	$600.38	$885.66
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $704.80 / $704.80 / $704.80	Professional		$704.80	$704.80	$704.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $494.00 / $977.92 / $1,164.19	Facility		$494.00	$977.92	$1,164.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $479.10 / $666.96 / $1,087.58	Professional		$479.10	$666.96	$1,087.58
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $3,144.00 / $5,731.00 / $11,037.00	Facility		$3,144.00	$5,731.00	$11,037.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $360.66 / $539.08 / $818.77	Professional		$360.66	$539.08	$818.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $70.39 / $522.44 / $819.72	Professional		$70.39	$522.44	$819.72
United Facility/Professional Facility Modifier Low / Median / High Price $1,014.00 / $3,611.00 / $8,105.00	Facility		$1,014.00	$3,611.00	$8,105.00
United Facility/Professional Professional Modifier Low / Median / High Price $489.34 / $637.62 / $1,137.16	Professional		$489.34	$637.62	$1,137.16
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $439.41 / $543.84 / $543.84	Professional		$439.41	$543.84	$543.84