Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $469.57 / $3,401.00 / $10,086.00	Facility		$469.57	$3,401.00	$10,086.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $129.61 / $180.67 / $267.35	Professional		$129.61	$180.67	$267.35
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $66.45 / $137.37 / $238.68	Professional		$66.45	$137.37	$238.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $432.00 / $1,198.01 / $1,426.20	Facility		$432.00	$1,198.01	$1,426.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.87 / $200.15 / $398.28	Professional		$120.87	$200.15	$398.28
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $4,189.00 / $8,488.00 / $16,195.00	Facility		$4,189.00	$8,488.00	$16,195.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $96.40 / $153.47 / $280.26	Professional		$96.40	$153.47	$280.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $109.92 / $146.30 / $228.64	Professional		$109.92	$146.30	$228.64
United Facility/Professional Facility Modifier Low / Median / High Price $1,954.00 / $5,889.00 / $10,192.00	Facility		$1,954.00	$5,889.00	$10,192.00
United Facility/Professional Professional Modifier Low / Median / High Price $119.94 / $192.84 / $316.24	Professional		$119.94	$192.84	$316.24
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $107.24 / $107.24 / $137.71	Professional		$107.24	$107.24	$137.71