Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $684.37 / $4,973.75 / $11,576.00	Facility		$684.37	$4,973.75	$11,576.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $644.12 / $763.54 / $1,225.81	Professional		$644.12	$763.54	$1,225.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $688.02 / $800.05 / $960.06	Professional		$688.02	$800.05	$960.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $611.00 / $3,499.48 / $4,166.05	Facility		$611.00	$3,499.48	$4,166.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $634.71 / $980.94 / $1,580.85	Professional		$634.71	$980.94	$1,580.85
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $6,078.00 / $12,767.00 / $23,031.00	Facility		$6,078.00	$12,767.00	$23,031.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $349.02 / $729.39 / $922.72	Professional		$349.02	$729.39	$922.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.45 / $572.19 / $1,002.74	Professional		$72.45	$572.19	$1,002.74
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 $585.75 / $811.67 / $1,497.95	Professional		$585.75	$811.67	$1,497.95
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $602.57 / $602.57 / $745.49	Professional		$602.57	$602.57	$745.49