Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $492.12 / $3,276.00 / $10,843.00	Facility		$492.12	$3,276.00	$10,843.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $260.70 / $530.23 / $725.64	Professional		$260.70	$530.23	$725.64
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $120.59 / $261.58 / $438.04	Professional		$120.59	$261.58	$438.04
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 $260.64 / $574.00 / $1,171.06	Professional		$260.64	$574.00	$1,171.06
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 $252.21 / $401.55 / $703.71	Professional		$252.21	$401.55	$703.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $299.72 / $413.40 / $621.58	Professional		$299.72	$413.40	$621.58
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 $505.20 / $705.88 / $1,239.49	Professional		$505.20	$705.88	$1,239.49
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $232.54 / $302.50 / $302.50	Professional		$232.54	$302.50	$302.50