Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $397.58 / $3,715.00 / $11,550.00	Facility		$397.58	$3,715.00	$11,550.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $373.80 / $452.03 / $597.53	Professional		$373.80	$452.03	$597.53
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $29.19 / $214.60 / $400.68	Professional		$29.19	$214.60	$400.68
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 $375.75 / $576.91 / $928.42	Professional		$375.75	$576.91	$928.42
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 $205.97 / $429.20 / $581.82	Professional		$205.97	$429.20	$581.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $69.62 / $346.47 / $595.30	Professional		$69.62	$346.47	$595.30
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 $339.16 / $486.49 / $855.95	Professional		$339.16	$486.49	$855.95
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $355.16 / $355.16 / $438.29	Professional		$355.16	$355.16	$438.29