Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $556.23 / $3,548.95 / $10,843.00	Facility		$556.23	$3,548.95	$10,843.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $448.29 / $590.99 / $878.64	Professional		$448.29	$590.99	$878.64
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $269.72 / $518.70 / $839.99	Professional		$269.72	$518.70	$839.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $494.00 / $1,198.01 / $1,426.20	Facility		$494.00	$1,198.01	$1,426.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $472.70 / $751.67 / $1,215.06	Professional		$472.70	$751.67	$1,215.06
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 $289.93 / $606.83 / $785.49	Professional		$289.93	$606.83	$785.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.12 / $488.85 / $840.05	Professional		$72.12	$488.85	$840.05
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 $491.33 / $705.84 / $1,258.16	Professional		$491.33	$705.84	$1,258.16
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $398.82 / $520.86 / $520.86	Professional		$398.82	$520.86	$520.86