Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $521.00 / $4,720.00 / $10,843.00	Facility		$521.00	$4,720.00	$10,843.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $355.74 / $421.07 / $684.97	Professional		$355.74	$421.07	$684.97
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $529.21 / $529.21 / $639.67	Professional		$529.21	$529.21	$639.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $323.00 / $705.99 / $840.46	Facility		$323.00	$705.99	$840.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $349.89 / $543.09 / $875.71	Professional		$349.89	$543.09	$875.71
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $2,578.00 / $4,823.00 / $9,635.00	Facility		$2,578.00	$4,823.00	$9,635.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $198.41 / $402.53 / $507.56	Professional		$198.41	$402.53	$507.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.27 / $382.79 / $602.76	Professional		$68.27	$382.79	$602.76
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 $315.93 / $450.42 / $819.42	Professional		$315.93	$450.42	$819.42
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $328.86 / $328.86 / $421.92	Professional		$328.86	$328.86	$421.92