Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $379.81 / $3,401.00 / $10,843.00	Facility		$379.81	$3,401.00	$10,843.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $272.11 / $403.59 / $589.54	Professional		$272.11	$403.59	$589.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $213.25 / $300.14 / $313.63	Professional		$213.25	$300.14	$313.63
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 $305.50 / $483.81 / $821.79	Professional		$305.50	$483.81	$821.79
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 $189.75 / $385.64 / $509.34	Professional		$189.75	$385.64	$509.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $36.48 / $310.53 / $607.16	Professional		$36.48	$310.53	$607.16
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 $342.33 / $481.95 / $898.99	Professional		$342.33	$481.95	$898.99
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $250.22 / $368.69 / $368.69	Professional		$250.22	$368.69	$368.69