Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $481.15 / $3,279.00 / $11,550.00	Facility		$481.15	$3,279.00	$11,550.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $415.75 / $556.99 / $802.38	Professional		$415.75	$556.99	$802.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $476.11 / $476.11 / $476.11	Professional		$476.11	$476.11	$476.11
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 $432.87 / $696.36 / $1,130.33	Professional		$432.87	$696.36	$1,130.33
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 $267.01 / $436.45 / $694.88	Professional		$267.01	$436.45	$694.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.12 / $486.67 / $810.95	Professional		$72.12	$486.67	$810.95
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 $459.09 / $640.61 / $1,169.46	Professional		$459.09	$640.61	$1,169.46
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $379.41 / $499.41 / $499.41	Professional		$379.41	$499.41	$499.41