Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $904.00 / $3,401.00 / $11,550.00	Facility		$904.00	$3,401.00	$11,550.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $825.90 / $1,021.33 / $1,425.34	Professional		$825.90	$1,021.33	$1,425.34
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,400.06 / $1,400.06 / $1,400.06	Professional		$1,400.06	$1,400.06	$1,400.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $494.00 / $1,198.01 / $1,426.20	Facility		$494.00	$1,198.01	$1,426.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $857.56 / $1,315.04 / $2,113.19	Professional		$857.56	$1,315.04	$2,113.19
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 $462.98 / $925.96 / $1,155.82	Professional		$462.98	$925.96	$1,155.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $107.70 / $751.89 / $1,348.86	Professional		$107.70	$751.89	$1,348.86
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 $717.29 / $1,031.99 / $2,003.11	Professional		$717.29	$1,031.99	$2,003.11
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $794.57 / $794.57 / $859.12	Professional		$794.57	$794.57	$859.12