Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $515.55 / $4,003.00 / $11,550.00	Facility		$515.55	$4,003.00	$11,550.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $483.55 / $564.65 / $768.57	Professional		$483.55	$564.65	$768.57
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $384.98 / $384.98 / $384.98	Professional		$384.98	$384.98	$384.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $494.00 / $835.58 / $994.74	Facility		$494.00	$835.58	$994.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $478.80 / $732.27 / $1,156.67	Professional		$478.80	$732.27	$1,156.67
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $2,578.00 / $4,823.00 / $9,635.00	Facility		$2,578.00	$4,823.00	$9,635.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $255.12 / $531.04 / $651.16	Professional		$255.12	$531.04	$651.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $71.09 / $425.99 / $757.76	Professional		$71.09	$425.99	$757.76
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 $424.63 / $593.29 / $1,066.83	Professional		$424.63	$593.29	$1,066.83
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $456.78 / $456.78 / $523.15	Professional		$456.78	$456.78	$523.15