Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $655.24 / $4,003.00 / $11,550.00	Facility		$655.24	$4,003.00	$11,550.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $616.69 / $772.55 / $1,052.93	Professional		$616.69	$772.55	$1,052.93
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,369.69 / $1,369.69 / $1,369.69	Professional		$1,369.69	$1,369.69	$1,369.69
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 $651.29 / $976.94 / $1,545.01	Professional		$651.29	$976.94	$1,545.01
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 $327.60 / $685.67 / $895.28	Professional		$327.60	$685.67	$895.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $106.60 / $567.13 / $1,003.64	Professional		$106.60	$567.13	$1,003.64
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 $565.11 / $799.94 / $1,437.29	Professional		$565.11	$799.94	$1,437.29
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $612.66 / $612.66 / $704.50	Professional		$612.66	$612.66	$704.50