Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $256.14 / $3,401.00 / $10,632.00	Facility		$256.14	$3,401.00	$10,632.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $250.37 / $379.00 / $535.34	Professional		$250.37	$379.00	$535.34
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $145.16 / $146.26 / $298.89	Professional		$145.16	$146.26	$298.89
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 $275.89 / $451.15 / $779.53	Professional		$275.89	$451.15	$779.53
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 $185.92 / $384.31 / $488.07	Professional		$185.92	$384.31	$488.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $36.41 / $299.85 / $533.56	Professional		$36.41	$299.85	$533.56
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 $328.00 / $451.00 / $848.39	Professional		$328.00	$451.00	$848.39
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $230.81 / $354.13 / $354.13	Professional		$230.81	$354.13	$354.13