Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $371.33 / $3,276.00 / $11,033.34	Facility		$371.33	$3,276.00	$11,033.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $367.15 / $509.03 / $757.03	Professional		$367.15	$509.03	$757.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $399.09 / $507.11 / $567.14	Professional		$399.09	$507.11	$567.14
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 $392.26 / $621.23 / $1,030.39	Professional		$392.26	$621.23	$1,030.39
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 $244.19 / $476.93 / $620.01	Professional		$244.19	$476.93	$620.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $70.98 / $387.15 / $734.39	Professional		$70.98	$387.15	$734.39
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 $420.00 / $588.00 / $1,115.85	Professional		$420.00	$588.00	$1,115.85
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $334.22 / $448.60 / $448.60	Professional		$334.22	$448.60	$448.60