Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $458.00 / $3,969.00 / $11,550.00	Facility		$458.00	$3,969.00	$11,550.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $393.49 / $480.88 / $691.18	Professional		$393.49	$480.88	$691.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $493.34 / $493.34 / $493.34	Professional		$493.34	$493.34	$493.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $432.00 / $1,574.05 / $1,873.87	Facility		$432.00	$1,574.05	$1,873.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $396.37 / $607.60 / $968.52	Professional		$396.37	$607.60	$968.52
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 $208.75 / $436.91 / $578.14	Professional		$208.75	$436.91	$578.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $379.01 / $641.75	Professional		$70.00	$379.01	$641.75
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 $352.41 / $496.62 / $903.44	Professional		$352.41	$496.62	$903.44
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $383.24 / $383.24 / $445.84	Professional		$383.24	$383.24	$445.84