Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $424.37 / $3,401.00 / $11,288.00	Facility		$424.37	$3,401.00	$11,288.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $311.98 / $442.79 / $633.91	Professional		$311.98	$442.79	$633.91
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $170.57 / $207.76 / $225.70	Professional		$170.57	$207.76	$225.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $611.00 / $1,574.05 / $1,873.87	Facility		$611.00	$1,574.05	$1,873.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $344.32 / $544.89 / $916.72	Professional		$344.32	$544.89	$916.72
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 $215.06 / $450.12 / $558.91	Professional		$215.06	$450.12	$558.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $70.98 / $370.68 / $688.98	Professional		$70.98	$370.68	$688.98
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 $375.10 / $518.89 / $928.50	Professional		$375.10	$518.89	$928.50
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $284.18 / $401.88 / $401.88	Professional		$284.18	$401.88	$401.88