Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $389.95 / $4,109.00 / $10,959.50	Facility		$389.95	$4,109.00	$10,959.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $250.89 / $377.34 / $602.52	Professional		$250.89	$377.34	$602.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $329.71 / $381.84 / $646.52	Professional		$329.71	$381.84	$646.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $432.00 / $705.99 / $840.46	Facility		$432.00	$705.99	$840.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $290.94 / $474.57 / $821.01	Professional		$290.94	$474.57	$821.01
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $2,561.00 / $4,821.00 / $9,360.00	Facility		$2,561.00	$4,821.00	$9,360.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $303.29 / $332.34 / $584.55	Professional		$303.29	$332.34	$584.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $36.56 / $346.47 / $574.81	Professional		$36.56	$346.47	$574.81
United Facility/Professional Facility Modifier Low / Median / High Price $1,681.00 / $5,811.00 / $10,057.00	Facility		$1,681.00	$5,811.00	$10,057.00
United Facility/Professional Professional Modifier Low / Median / High Price $361.39 / $532.07 / $1,007.29	Professional		$361.39	$532.07	$1,007.29
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $243.83 / $353.11 / $353.11	Professional		$243.83	$353.11	$353.11