Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $882.91 / $6,024.00 / $13,821.00	Facility		$882.91	$6,024.00	$13,821.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $636.96 / $719.38 / $1,020.48	Professional		$636.96	$719.38	$1,020.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $558.79 / $558.79 / $558.79	Professional		$558.79	$558.79	$558.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $964.00 / $2,907.91 / $3,461.80	Facility		$964.00	$2,907.91	$3,461.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $685.98 / $1,020.42 / $1,640.19	Professional		$685.98	$1,020.42	$1,640.19
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $5,979.00 / $12,759.00 / $23,031.00	Facility		$5,979.00	$12,759.00	$23,031.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $565.60 / $609.65 / $1,072.33	Professional		$565.60	$609.65	$1,072.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.53 / $664.03 / $1,062.78	Professional		$72.53	$664.03	$1,062.78
United Facility/Professional Facility Modifier Low / Median / High Price $3,320.00 / $10,309.00 / $15,888.00	Facility		$3,320.00	$10,309.00	$15,888.00
United Facility/Professional Professional Modifier Low / Median / High Price $647.89 / $942.60 / $1,661.98	Professional		$647.89	$942.60	$1,661.98
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $638.57 / $638.57 / $638.57	Professional		$638.57	$638.57	$638.57