Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $543.00 / $4,994.00 / $11,550.00	Facility		$543.00	$4,994.00	$11,550.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $379.08 / $440.08 / $595.23	Professional		$379.08	$440.08	$595.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $440.04 / $575.35 / $690.42	Professional		$440.04	$575.35	$690.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $323.00 / $1,198.01 / $1,426.20	Facility		$323.00	$1,198.01	$1,426.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $373.28 / $569.54 / $925.63	Professional		$373.28	$569.54	$925.63
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 $203.82 / $414.50 / $521.39	Professional		$203.82	$414.50	$521.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.34 / $407.60 / $629.69	Professional		$68.34	$407.60	$629.69
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 $343.17 / $482.74 / $862.20	Professional		$343.17	$482.74	$862.20
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $349.79 / $349.79 / $444.37	Professional		$349.79	$349.79	$444.37