Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $275.07 / $3,276.00 / $10,802.00	Facility		$275.07	$3,276.00	$10,802.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $271.95 / $399.81 / $564.73	Professional		$271.95	$399.81	$564.73
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $162.27 / $293.64 / $321.44	Professional		$162.27	$293.64	$321.44
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 $298.01 / $490.42 / $828.59	Professional		$298.01	$490.42	$828.59
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 $201.25 / $421.21 / $544.46	Professional		$201.25	$421.21	$544.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $36.48 / $309.89 / $607.46	Professional		$36.48	$309.89	$607.46
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 $351.01 / $491.41 / $877.72	Professional		$351.01	$491.41	$877.72
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $244.86 / $368.18 / $368.18	Professional		$244.86	$368.18	$368.18