Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $564.76 / $3,401.00 / $10,802.00	Facility		$564.76	$3,401.00	$10,802.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $531.54 / $625.08 / $830.53	Professional		$531.54	$625.08	$830.53
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $169.78 / $1,248.35 / $1,248.35	Professional		$169.78	$1,248.35	$1,248.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $432.00 / $3,499.48 / $4,166.05	Facility		$432.00	$3,499.48	$4,166.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $526.54 / $811.70 / $1,296.18	Professional		$526.54	$811.70	$1,296.18
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 $286.11 / $598.83 / $764.59	Professional		$286.11	$598.83	$764.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $71.34 / $458.85 / $832.56	Professional		$71.34	$458.85	$832.56
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 $475.31 / $671.88 / $1,164.95	Professional		$475.31	$671.88	$1,164.95
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $498.90 / $498.90 / $601.52	Professional		$498.90	$498.90	$601.52