Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $509.07 / $4,003.00 / $11,550.00	Facility		$509.07	$4,003.00	$11,550.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $479.12 / $564.29 / $765.09	Professional		$479.12	$564.29	$765.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $867.51 / $867.51 / $867.51	Professional		$867.51	$867.51	$867.51
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 $473.82 / $724.65 / $1,151.93	Professional		$473.82	$724.65	$1,151.93
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 $253.24 / $530.04 / $670.20	Professional		$253.24	$530.04	$670.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $70.98 / $453.26 / $766.02	Professional		$70.98	$453.26	$766.02
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 $422.06 / $587.61 / $1,075.43	Professional		$422.06	$587.61	$1,075.43
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $456.52 / $456.52 / $523.01	Professional		$456.52	$456.52	$523.01