Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $534.37 / $3,286.24 / $10,632.00	Facility		$534.37	$3,286.24	$10,632.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $404.79 / $566.44 / $837.33	Professional		$404.79	$566.44	$837.33
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $219.33 / $378.42 / $447.01	Professional		$219.33	$378.42	$447.01
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 $442.86 / $700.59 / $1,175.09	Professional		$442.86	$700.59	$1,175.09
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 $272.50 / $544.99 / $700.65	Professional		$272.50	$544.99	$700.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.12 / $487.57 / $838.82	Professional		$72.12	$487.57	$838.82
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 $466.40 / $665.40 / $1,218.33	Professional		$466.40	$665.40	$1,218.33
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $364.09 / $504.27 / $504.27	Professional		$364.09	$504.27	$504.27