Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $837.10 / $6,154.00 / $13,982.00	Facility		$837.10	$6,154.00	$13,982.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $787.86 / $911.80 / $1,237.32	Professional		$787.86	$911.80	$1,237.32
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,825.40 / $1,825.40 / $1,825.40	Professional		$1,825.40	$1,825.40	$1,825.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $835.58 / $11,754.00 / $30,357.00	Facility		$835.58	$11,754.00	$30,357.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $769.79 / $1,183.69 / $1,925.85	Professional		$769.79	$1,183.69	$1,925.85
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $2,596.00 / $4,823.00 / $9,710.00	Facility		$2,596.00	$4,823.00	$9,710.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $428.36 / $889.29 / $1,117.79	Professional		$428.36	$889.29	$1,117.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.48 / $696.16 / $1,187.58	Professional		$72.48	$696.16	$1,187.58
United Facility/Professional Facility Modifier Low / Median / High Price $3,581.00 / $10,309.00 / $15,888.00	Facility		$3,581.00	$10,309.00	$15,888.00
United Facility/Professional Professional Modifier Low / Median / High Price $690.03 / $985.75 / $1,800.80	Professional		$690.03	$985.75	$1,800.80
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $725.38 / $725.38 / $901.27	Professional		$725.38	$725.38	$901.27