Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $343.23 / $4,003.00 / $11,576.00	Facility		$343.23	$4,003.00	$11,576.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $341.29 / $383.20 / $510.70	Professional		$341.29	$383.20	$510.70
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $195.85 / $195.85 / $195.85	Professional		$195.85	$195.85	$195.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $494.00 / $5,232.88 / $6,229.62	Facility		$494.00	$5,232.88	$6,229.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $323.18 / $503.98 / $784.31	Professional		$323.18	$503.98	$784.31
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $6,078.00 / $12,767.00 / $23,031.00	Facility		$6,078.00	$12,767.00	$23,031.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $188.04 / $379.12 / $663.46	Professional		$188.04	$379.12	$663.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $52.45 / $297.52 / $538.32	Professional		$52.45	$297.52	$538.32
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 $293.98 / $425.92 / $728.95	Professional		$293.98	$425.92	$728.95
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $300.77 / $300.77 / $379.99	Professional		$300.77	$300.77	$379.99