Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $403.92 / $4,014.55 / $11,624.00	Facility		$403.92	$4,014.55	$11,624.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $279.22 / $412.18 / $635.25	Professional		$279.22	$412.18	$635.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $153.16 / $167.17 / $334.33	Professional		$153.16	$167.17	$334.33
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 $311.26 / $493.54 / $844.58	Professional		$311.26	$493.54	$844.58
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 $193.78 / $405.59 / $522.04	Professional		$193.78	$405.59	$522.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $36.48 / $344.41 / $650.60	Professional		$36.48	$344.41	$650.60
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 $352.70 / $489.06 / $942.17	Professional		$352.70	$489.06	$942.17
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $255.32 / $377.88 / $377.88	Professional		$255.32	$377.88	$377.88