Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $3,801.89 / $10,471.29	Facility		$776.25	$3,801.89	$10,471.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $204.17 / $407.38	Professional		$141.25	$204.17	$407.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $234.42 / $288.40	Professional		$123.03	$234.42	$288.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $1,584.89 / $1,862.09	Facility		$288.40	$1,584.89	$1,862.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $239.88 / $398.11	Professional		$151.36	$239.88	$398.11
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $6,165.95 / $12,022.64 / $22,908.68	Facility		$6,165.95	$12,022.64	$22,908.68
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $186.21 / $263.03	Professional		$104.71	$186.21	$263.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $138.04 / $323.59	Professional		$32.36	$138.04	$323.59
United Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $7,585.78 / $12,022.64	Facility		$2,630.27	$7,585.78	$12,022.64
United Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $186.21 / $346.74	Professional		$128.82	$186.21	$346.74
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $181.97 / $257.04	Professional		$131.83	$181.97	$257.04