Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $730.02 / $4,732.00 / $11,576.00	Facility		$730.02	$4,732.00	$11,576.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $687.08 / $849.95 / $1,164.32	Professional		$687.08	$849.95	$1,164.32
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $905.96 / $1,159.11 / $1,287.92	Professional		$905.96	$1,159.11	$1,287.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $611.00 / $4,428.83 / $5,272.41	Facility		$611.00	$4,428.83	$5,272.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $721.43 / $1,093.32 / $1,706.71	Professional		$721.43	$1,093.32	$1,706.71
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 $367.71 / $769.62 / $988.98	Professional		$367.71	$769.62	$988.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $107.08 / $636.82 / $1,101.10	Professional		$107.08	$636.82	$1,101.10
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 $618.42 / $873.51 / $1,578.16	Professional		$618.42	$873.51	$1,578.16
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $678.14 / $678.14 / $782.35	Professional		$678.14	$678.14	$782.35