Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $551.00 / $4,555.00 / $11,576.00	Facility		$551.00	$4,555.00	$11,576.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $434.87 / $530.66 / $883.63	Professional		$434.87	$530.66	$883.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $716.00 / $716.00 / $1,072.99	Professional		$716.00	$716.00	$1,072.99
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 $421.36 / $664.94 / $1,047.85	Professional		$421.36	$664.94	$1,047.85
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 $234.32 / $392.35 / $591.09	Professional		$234.32	$392.35	$591.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $70.32 / $389.08 / $677.49	Professional		$70.32	$389.08	$677.49
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 $361.06 / $518.58 / $966.90	Professional		$361.06	$518.58	$966.90
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $411.84 / $411.84 / $445.30	Professional		$411.84	$411.84	$445.30