Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $658.71 / $3,286.00 / $9,639.00	Facility		$658.71	$3,286.00	$9,639.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $93.16 / $103.80 / $468.25	Facility	52	$93.16	$103.80	$468.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $197.96 / $658.71 / $1,477.19	Professional		$197.96	$658.71	$1,477.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $238.58 / $285.30 / $366.33	Professional		$238.58	$285.30	$366.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $323.00 / $1,605.10 / $1,910.83	Facility		$323.00	$1,605.10	$1,910.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $217.97 / $583.66 / $1,703.89	Professional		$217.97	$583.66	$1,703.89
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 $648.47 / $826.33 / $1,453.45	Professional		$648.47	$826.33	$1,453.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $843.13 / $1,261.32 / $1,731.72	Professional		$843.13	$1,261.32	$1,731.72
United Facility/Professional Facility Modifier Low / Median / High Price $1,681.00 / $5,811.00 / $10,057.00	Facility		$1,681.00	$5,811.00	$10,057.00
United Facility/Professional Professional Modifier Low / Median / High Price $781.16 / $1,158.03 / $2,023.97	Professional		$781.16	$1,158.03	$2,023.97
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $165.45 / $911.76 / $911.76	Professional		$165.45	$911.76	$911.76