Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $903.00 / $5,866.00 / $12,444.00	Facility		$903.00	$5,866.00	$12,444.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $631.53 / $739.40 / $1,251.23	Professional		$631.53	$739.40	$1,251.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,226.15 / $1,226.15 / $1,226.15	Professional		$1,226.15	$1,226.15	$1,226.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $323.00 / $1,198.01 / $1,426.20	Facility		$323.00	$1,198.01	$1,426.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $624.04 / $962.41 / $1,548.64	Professional		$624.04	$962.41	$1,548.64
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 $356.18 / $712.36 / $893.25	Professional		$356.18	$712.36	$893.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.42 / $566.96 / $984.07	Professional		$72.42	$566.96	$984.07
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 $554.44 / $820.91 / $1,443.42	Professional		$554.44	$820.91	$1,443.42
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $572.95 / $572.95 / $748.06	Professional		$572.95	$572.95	$748.06