Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $946.81 / $4,790.00 / $11,624.00	Facility		$946.81	$4,790.00	$11,624.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $905.84 / $1,069.45 / $1,577.94	Professional		$905.84	$1,069.45	$1,577.94
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $363.12 / $1,049.02 / $3,587.75	Professional		$363.12	$1,049.02	$3,587.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $323.00 / $400.00 / $10,000.00	Facility		$323.00	$400.00	$10,000.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $887.97 / $1,373.82 / $2,217.17	Professional		$887.97	$1,373.82	$2,217.17
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $9,624.00 / $21,162.00 / $32,051.00	Facility		$9,624.00	$21,162.00	$32,051.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $493.44 / $1,022.12 / $1,284.75	Professional		$493.44	$1,022.12	$1,284.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $108.01 / $799.26 / $1,384.11	Professional		$108.01	$799.26	$1,384.11
United Facility/Professional Facility Modifier Low / Median / High Price $4,462.00 / $12,949.00 / $20,609.00	Facility		$4,462.00	$12,949.00	$20,609.00
United Facility/Professional Professional Modifier Low / Median / High Price $814.04 / $1,151.79 / $2,081.75	Professional		$814.04	$1,151.79	$2,081.75
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $833.12 / $833.12 / $1,021.16	Professional		$833.12	$833.12	$1,021.16