Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $371.59 / $3,286.24 / $10,843.00	Facility		$371.59	$3,286.24	$10,843.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $255.09 / $371.58 / $522.57	Professional		$255.09	$371.58	$522.57
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $151.13 / $288.99 / $877.56	Professional		$151.13	$288.99	$877.56
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 $277.85 / $444.17 / $739.17	Professional		$277.85	$444.17	$739.17
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 $178.23 / $371.22 / $461.68	Professional		$178.23	$371.22	$461.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $36.14 / $278.29 / $522.71	Professional		$36.14	$278.29	$522.71
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 $309.77 / $430.61 / $793.47	Professional		$309.77	$430.61	$793.47
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $229.79 / $326.82 / $326.82	Professional		$229.79	$326.82	$326.82