Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $502.45 / $3,403.00 / $11,550.00	Facility		$502.45	$3,403.00	$11,550.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $471.63 / $556.84 / $758.02	Professional		$471.63	$556.84	$758.02
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $742.25 / $742.25 / $935.86	Professional		$742.25	$742.25	$935.86
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 $470.89 / $720.17 / $1,147.84	Professional		$470.89	$720.17	$1,147.84
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 $251.38 / $526.15 / $756.41	Professional		$251.38	$526.15	$756.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $71.09 / $424.38 / $721.46	Professional		$71.09	$424.38	$721.46
United Facility/Professional Facility Modifier Low / Median / High Price $1,064.00 / $3,611.00 / $6,730.00	Facility		$1,064.00	$3,611.00	$6,730.00
United Facility/Professional Professional Modifier Low / Median / High Price $415.48 / $600.66 / $1,121.01	Professional		$415.48	$600.66	$1,121.01
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $446.56 / $446.56 / $520.45	Professional		$446.56	$446.56	$520.45