Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $714.00 / $6,154.00 / $13,140.00	Facility		$714.00	$6,154.00	$13,140.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $627.74 / $739.32 / $1,001.98	Professional		$627.74	$739.32	$1,001.98
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,243.47 / $1,243.47 / $1,243.47	Professional		$1,243.47	$1,243.47	$1,243.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,020.32 / $11,754.00 / $30,357.00	Facility		$5,020.32	$11,754.00	$30,357.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $622.74 / $963.54 / $1,538.84	Professional		$622.74	$963.54	$1,538.84
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 $338.43 / $704.66 / $873.00	Professional		$338.43	$704.66	$873.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.42 / $569.02 / $978.68	Professional		$72.42	$569.02	$978.68
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 $558.74 / $778.25 / $1,373.52	Professional		$558.74	$778.25	$1,373.52
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $590.57 / $590.57 / $702.52	Professional		$590.57	$590.57	$702.52