Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $368.00 / $4,790.00 / $11,576.00	Facility		$368.00	$4,790.00	$11,576.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $346.35 / $409.84 / $562.87	Professional		$346.35	$409.84	$562.87
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $759.35 / $759.35 / $759.35	Professional		$759.35	$759.35	$759.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $611.00 / $1,574.05 / $1,873.87	Facility		$611.00	$1,574.05	$1,873.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $349.27 / $532.04 / $833.94	Professional		$349.27	$532.04	$833.94
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 $178.14 / $372.85 / $499.00	Professional		$178.14	$372.85	$499.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.27 / $362.28 / $599.55	Professional		$65.27	$362.28	$599.55
United Facility/Professional Facility Modifier Low / Median / High Price $2,774.00 / $8,301.00 / $12,989.00	Facility		$2,774.00	$8,301.00	$12,989.00
United Facility/Professional Professional Modifier Low / Median / High Price $301.32 / $426.73 / $786.88	Professional		$301.32	$426.73	$786.88
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $334.73 / $334.73 / $380.08	Professional		$334.73	$334.73	$380.08