Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $857.00 / $3,836.00 / $10,802.00	Facility		$857.00	$3,836.00	$10,802.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $897.69 / $992.73 / $1,315.22	Professional		$897.69	$992.73	$1,315.22
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $608.25 / $608.25 / $608.25	Professional		$608.25	$608.25	$608.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $432.00 / $2,907.91 / $3,461.80	Facility		$432.00	$2,907.91	$3,461.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $830.84 / $1,318.17 / $2,170.79	Professional		$830.84	$1,318.17	$2,170.79
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $5,979.00 / $12,804.00 / $23,031.00	Facility		$5,979.00	$12,804.00	$23,031.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $478.58 / $912.52 / $1,144.08	Professional		$478.58	$912.52	$1,144.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.48 / $724.97 / $1,203.77	Professional		$72.48	$724.97	$1,203.77
United Facility/Professional Facility Modifier Low / Median / High Price $3,581.00 / $10,309.00 / $15,888.00	Facility		$3,581.00	$10,309.00	$15,888.00
United Facility/Professional Professional Modifier Low / Median / High Price $798.98 / $1,112.98 / $1,959.56	Professional		$798.98	$1,112.98	$1,959.56
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $760.36 / $760.36 / $958.12	Professional		$760.36	$760.36	$958.12