Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $691.31 / $4,003.00 / $11,550.00	Facility		$691.31	$4,003.00	$11,550.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $650.64 / $769.79 / $1,031.67	Professional		$650.64	$769.79	$1,031.67
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,055.32 / $1,172.58 / $1,281.32	Professional		$1,055.32	$1,172.58	$1,281.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $494.00 / $1,574.05 / $1,873.87	Facility		$494.00	$1,574.05	$1,873.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $640.91 / $989.85 / $1,572.86	Professional		$640.91	$989.85	$1,572.86
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 $353.60 / $707.20 / $871.22	Professional		$353.60	$707.20	$871.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.22 / $554.55 / $1,005.10	Professional		$72.22	$554.55	$1,005.10
United Facility/Professional Facility Modifier Low / Median / High Price $2,774.00 / $8,301.00 / $12,989.00	Facility		$2,774.00	$8,301.00	$12,989.00
United Facility/Professional Professional Modifier Low / Median / High Price $577.41 / $808.38 / $1,430.34	Professional		$577.41	$808.38	$1,430.34
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $607.92 / $607.92 / $709.11	Professional		$607.92	$607.92	$709.11