Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $377.94 / $4,245.00 / $11,624.00	Facility		$377.94	$4,245.00	$11,624.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $355.14 / $415.87 / $567.22	Professional		$355.14	$415.87	$567.22
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $370.23 / $370.23 / $407.52	Professional		$370.23	$370.23	$407.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $494.00 / $1,574.05 / $1,873.87	Facility		$494.00	$1,574.05	$1,873.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $353.02 / $537.84 / $867.57	Professional		$353.02	$537.84	$867.57
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 $194.29 / $400.60 / $521.73	Professional		$194.29	$400.60	$521.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.27 / $371.67 / $578.35	Professional		$68.27	$371.67	$578.35
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 $320.49 / $455.76 / $827.50	Professional		$320.49	$455.76	$827.50
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $331.92 / $331.92 / $418.93	Professional		$331.92	$331.92	$418.93