Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $941.53 / $6,038.00 / $13,982.00	Facility		$941.53	$6,038.00	$13,982.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $878.35 / $1,040.33 / $1,398.47	Professional		$878.35	$1,040.33	$1,398.47
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,733.28 / $1,733.28 / $1,733.28	Professional		$1,733.28	$1,733.28	$1,733.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,499.48 / $11,754.00 / $30,357.00	Facility		$3,499.48	$11,754.00	$30,357.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $869.60 / $1,349.37 / $2,170.02	Professional		$869.60	$1,349.37	$2,170.02
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $5,945.00 / $12,759.00 / $23,031.00	Facility		$5,945.00	$12,759.00	$23,031.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $479.87 / $998.14 / $1,217.00	Professional		$479.87	$998.14	$1,217.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.48 / $776.23 / $1,348.24	Professional		$72.48	$776.23	$1,348.24
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 $785.12 / $1,111.50 / $2,000.70	Professional		$785.12	$1,111.50	$2,000.70
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $821.12 / $821.12 / $1,007.55	Professional		$821.12	$821.12	$1,007.55