Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $625.38 / $4,790.00 / $11,576.00	Facility		$625.38	$4,790.00	$11,576.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $580.26 / $718.52 / $999.90	Professional		$580.26	$718.52	$999.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $388.43 / $388.43 / $388.43	Professional		$388.43	$388.43	$388.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $611.00 / $1,574.05 / $1,873.87	Facility		$611.00	$1,574.05	$1,873.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $616.69 / $928.14 / $1,458.15	Professional		$616.69	$928.14	$1,458.15
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 $308.70 / $646.12 / $854.65	Professional		$308.70	$646.12	$854.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.22 / $556.38 / $971.07	Professional		$72.22	$556.38	$971.07
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 $535.08 / $749.81 / $1,305.18	Professional		$535.08	$749.81	$1,305.18
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $584.44 / $584.44 / $662.74	Professional		$584.44	$584.44	$662.74