Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $957.16 / $4,892.00 / $13,066.00	Facility		$957.16	$4,892.00	$13,066.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $900.86 / $1,057.55 / $1,583.57	Professional		$900.86	$1,057.55	$1,583.57
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $724.03 / $724.03 / $1,350.12	Professional		$724.03	$724.03	$1,350.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $964.00 / $3,499.48 / $4,166.05	Facility		$964.00	$3,499.48	$4,166.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $885.59 / $1,375.44 / $2,221.29	Professional		$885.59	$1,375.44	$2,221.29
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 $495.90 / $1,034.96 / $1,296.83	Professional		$495.90	$1,034.96	$1,296.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $107.82 / $796.80 / $1,382.68	Professional		$107.82	$796.80	$1,382.68
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 $817.68 / $1,155.43 / $2,101.02	Professional		$817.68	$1,155.43	$2,101.02
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $829.29 / $829.29 / $1,033.50	Professional		$829.29	$829.29	$1,033.50