Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $649.85 / $4,003.00 / $11,550.00	Facility		$649.85	$4,003.00	$11,550.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $537.74 / $633.77 / $863.91	Professional		$537.74	$633.77	$863.91
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,019.32 / $1,019.32 / $1,019.32	Professional		$1,019.32	$1,019.32	$1,019.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $494.00 / $4,435.47 / $5,280.33	Facility		$494.00	$4,435.47	$5,280.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $515.99 / $800.90 / $1,326.94	Professional		$515.99	$800.90	$1,326.94
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 $303.29 / $606.57 / $742.59	Professional		$303.29	$606.57	$742.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $71.37 / $487.24 / $807.56	Professional		$71.37	$487.24	$807.56
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 $489.38 / $676.02 / $1,209.04	Professional		$489.38	$676.02	$1,209.04
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $488.69 / $488.69 / $621.88	Professional		$488.69	$488.69	$621.88