Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $618.54 / $4,732.00 / $11,655.00	Facility		$618.54	$4,732.00	$11,655.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $579.63 / $670.34 / $916.31	Professional		$579.63	$670.34	$916.31
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,223.92 / $1,223.92 / $1,223.92	Professional		$1,223.92	$1,223.92	$1,223.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $323.00 / $400.00 / $10,000.00	Facility		$323.00	$400.00	$10,000.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $567.91 / $867.73 / $1,386.20	Professional		$567.91	$867.73	$1,386.20
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 $308.63 / $629.83 / $805.91	Professional		$308.63	$629.83	$805.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.12 / $523.65 / $921.77	Professional		$72.12	$523.65	$921.77
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 $495.14 / $692.80 / $1,241.60	Professional		$495.14	$692.80	$1,241.60
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $537.71 / $537.71 / $624.66	Professional		$537.71	$537.71	$624.66