Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $713.88 / $3,276.00 / $10,632.00	Facility		$713.88	$3,276.00	$10,632.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $713.88 / $867.87 / $1,312.67	Professional		$713.88	$867.87	$1,312.67
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $878.40 / $966.10 / $1,466.08	Professional		$878.40	$966.10	$1,466.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $432.00 / $977.92 / $1,164.19	Facility		$432.00	$977.92	$1,164.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $702.08 / $943.90 / $1,564.74	Professional		$702.08	$943.90	$1,564.74
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 $522.19 / $758.32 / $1,163.60	Professional		$522.19	$758.32	$1,163.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $106.53 / $724.65 / $1,157.77	Professional		$106.53	$724.65	$1,157.77
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 $695.04 / $922.25 / $1,581.23	Professional		$695.04	$922.25	$1,581.23
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $653.12 / $771.85 / $771.85	Professional		$653.12	$771.85	$771.85