Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $621.00 / $3,403.00 / $11,481.00	Facility		$621.00	$3,403.00	$11,481.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $556.52 / $681.54 / $1,036.39	Professional		$556.52	$681.54	$1,036.39
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $688.76 / $688.76 / $688.76	Professional		$688.76	$688.76	$688.76
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 $547.73 / $749.70 / $1,216.34	Professional		$547.73	$749.70	$1,216.34
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 $419.86 / $605.51 / $912.40	Professional		$419.86	$605.51	$912.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $70.98 / $585.18 / $909.40	Professional		$70.98	$585.18	$909.40
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 $573.46 / $739.33 / $1,283.68	Professional		$573.46	$739.33	$1,283.68
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $501.20 / $603.84 / $603.84	Professional		$501.20	$603.84	$603.84