Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $521.00 / $4,696.00 / $11,624.00	Facility		$521.00	$4,696.00	$11,624.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $398.98 / $470.66 / $733.61	Professional		$398.98	$470.66	$733.61
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $479.10 / $479.10 / $479.10	Professional		$479.10	$479.10	$479.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $323.00 / $1,198.01 / $1,426.20	Facility		$323.00	$1,198.01	$1,426.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $392.92 / $610.80 / $984.30	Professional		$392.92	$610.80	$984.30
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $4,189.00 / $8,488.00 / $16,195.00	Facility		$4,189.00	$8,488.00	$16,195.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $223.66 / $450.55 / $569.98	Professional		$223.66	$450.55	$569.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.34 / $397.33 / $664.33	Professional		$68.34	$397.33	$664.33
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 $363.39 / $512.61 / $903.96	Professional		$363.39	$512.61	$903.96
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $366.14 / $366.14 / $473.90	Professional		$366.14	$366.14	$473.90