Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $556.61 / $4,790.00 / $11,550.00	Facility		$556.61	$4,790.00	$11,550.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $424.44 / $619.48 / $896.21	Professional		$424.44	$619.48	$896.21
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $433.70 / $433.70 / $473.30	Professional		$433.70	$433.70	$473.30
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 $438.81 / $738.98 / $1,240.52	Professional		$438.81	$738.98	$1,240.52
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 $310.05 / $620.09 / $764.29	Professional		$310.05	$620.09	$764.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.22 / $509.52 / $871.40	Professional		$72.22	$509.52	$871.40
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 $523.04 / $730.73 / $1,347.53	Professional		$523.04	$730.73	$1,347.53
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $360.52 / $525.97 / $525.97	Professional		$360.52	$525.97	$525.97