Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $294.19 / $3,276.00 / $10,802.00	Facility		$294.19	$3,276.00	$10,802.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $294.19 / $426.62 / $681.04	Professional		$294.19	$426.62	$681.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $411.71 / $411.71 / $497.78	Professional		$411.71	$411.71	$497.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $432.00 / $705.99 / $840.46	Facility		$432.00	$705.99	$840.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $315.00 / $513.41 / $870.78	Professional		$315.00	$513.41	$870.78
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 $208.47 / $401.41 / $564.35	Professional		$208.47	$401.41	$564.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $36.48 / $388.72 / $674.52	Professional		$36.48	$388.72	$674.52
United Facility/Professional Facility Modifier Low / Median / High Price $1,014.00 / $3,611.00 / $8,105.00	Facility		$1,014.00	$3,611.00	$8,105.00
United Facility/Professional Professional Modifier Low / Median / High Price $348.39 / $499.20 / $877.91	Professional		$348.39	$499.20	$877.91
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $259.14 / $405.71 / $405.71	Professional		$259.14	$405.71	$405.71