Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $578.00 / $4,790.00 / $11,188.64	Facility		$578.00	$4,790.00	$11,188.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $354.53 / $420.40 / $675.20	Professional		$354.53	$420.40	$675.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $448.93 / $770.49 / $918.22	Professional		$448.93	$770.49	$918.22
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 $349.38 / $543.30 / $874.44	Professional		$349.38	$543.30	$874.44
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 $198.90 / $402.24 / $508.80	Professional		$198.90	$402.24	$508.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.27 / $357.23 / $569.55	Professional		$68.27	$357.23	$569.55
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 $316.94 / $455.33 / $803.52	Professional		$316.94	$455.33	$803.52
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $328.60 / $328.60 / $422.67	Professional		$328.60	$328.60	$422.67