Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $908.00 / $4,899.00 / $12,348.44	Facility		$908.00	$4,899.00	$12,348.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $515.84 / $606.97 / $1,036.45	Professional		$515.84	$606.97	$1,036.45
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $282.33 / $564.66 / $802.41	Professional		$282.33	$564.66	$802.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,552.25 / $11,754.00 / $30,357.00	Facility		$1,552.25	$11,754.00	$30,357.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $508.76 / $779.03 / $1,290.64	Professional		$508.76	$779.03	$1,290.64
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $6,078.00 / $12,767.00 / $23,031.00	Facility		$6,078.00	$12,767.00	$23,031.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $284.80 / $569.59 / $769.90	Professional		$284.80	$569.59	$769.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $71.09 / $446.84 / $796.57	Professional		$71.09	$446.84	$796.57
United Facility/Professional Facility Modifier Low / Median / High Price $4,462.00 / $12,949.00 / $20,609.00	Facility		$4,462.00	$12,949.00	$20,609.00
United Facility/Professional Professional Modifier Low / Median / High Price $474.75 / $660.39 / $1,206.09	Professional		$474.75	$660.39	$1,206.09
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $463.92 / $463.92 / $594.38	Professional		$463.92	$463.92	$594.38