Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $397.00 / $1,795.61 / $8,159.00	Facility		$397.00	$1,795.61	$8,159.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.67 / $316.43 / $634.12	Professional		$71.67	$316.43	$634.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $249.58 / $249.58 / $249.58	Professional		$249.58	$249.58	$249.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $323.00 / $1,389.03 / $1,416.24	Facility		$323.00	$1,389.03	$1,416.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.93 / $322.79 / $834.10	Professional		$82.93	$322.79	$834.10
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $1,135.00 / $2,669.00 / $6,584.00	Facility		$1,135.00	$2,669.00	$6,584.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $239.98 / $261.98 / $564.15	Professional		$239.98	$261.98	$564.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $264.38 / $399.25 / $541.82	Professional		$264.38	$399.25	$541.82
United Facility/Professional Facility Modifier Low / Median / High Price $345.00 / $1,911.00 / $5,107.00	Facility		$345.00	$1,911.00	$5,107.00
United Facility/Professional Professional Modifier Low / Median / High Price $409.56 / $602.96 / $1,023.90	Professional		$409.56	$602.96	$1,023.90
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $61.53 / $282.89 / $282.89	Professional		$61.53	$282.89	$282.89