Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $309.83 / $3,276.00 / $10,843.00	Facility		$309.83	$3,276.00	$10,843.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $140.34 / $350.45 / $509.80	Professional		$140.34	$350.45	$509.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $89.38 / $137.51 / $206.27	Professional		$89.38	$137.51	$206.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $494.00 / $835.58 / $994.74	Facility		$494.00	$835.58	$994.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $142.19 / $362.53 / $741.13	Professional		$142.19	$362.53	$741.13
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 $161.81 / $257.63 / $462.58	Professional		$161.81	$257.63	$462.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $180.93 / $249.77 / $381.31	Professional		$180.93	$249.77	$381.31
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 $319.95 / $460.58 / $782.51	Professional		$319.95	$460.58	$782.51
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $132.69 / $191.27 / $191.27	Professional		$132.69	$191.27	$191.27