Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $602.00 / $3,401.00 / $10,632.00	Facility		$602.00	$3,401.00	$10,632.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $430.31 / $664.80 / $1,014.28	Professional		$430.31	$664.80	$1,014.28
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $500.69 / $500.69 / $518.33	Professional		$500.69	$500.69	$518.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $494.00 / $4,417.96 / $5,259.48	Facility		$494.00	$4,417.96	$5,259.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $481.48 / $783.73 / $1,343.31	Professional		$481.48	$783.73	$1,343.31
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 $300.07 / $627.30 / $873.92	Professional		$300.07	$627.30	$873.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $107.13 / $598.01 / $1,040.18	Professional		$107.13	$598.01	$1,040.18
United Facility/Professional Facility Modifier Low / Median / High Price $2,774.00 / $8,301.00 / $12,989.00	Facility		$2,774.00	$8,301.00	$12,989.00
United Facility/Professional Professional Modifier Low / Median / High Price $560.55 / $780.29 / $1,571.73	Professional		$560.55	$780.29	$1,571.73
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $394.48 / $632.95 / $632.95	Professional		$394.48	$632.95	$632.95