Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $480.42 / $4,790.00 / $11,576.00	Facility		$480.42	$4,790.00	$11,576.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $448.32 / $544.58 / $740.85	Professional		$448.32	$544.58	$740.85
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $918.44 / $918.44 / $918.44	Professional		$918.44	$918.44	$918.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $611.00 / $1,574.05 / $1,873.87	Facility		$611.00	$1,574.05	$1,873.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $460.16 / $699.40 / $1,091.29	Professional		$460.16	$699.40	$1,091.29
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 $235.06 / $488.29 / $643.74	Professional		$235.06	$488.29	$643.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $70.77 / $424.38 / $721.46	Professional		$70.77	$424.38	$721.46
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 $403.50 / $557.07 / $1,008.88	Professional		$403.50	$557.07	$1,008.88
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $437.88 / $437.88 / $485.79	Professional		$437.88	$437.88	$485.79