Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,476.40 / $5,839.00 / $11,576.00	Facility		$1,476.40	$5,839.00	$11,576.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,502.48 / $1,621.54 / $2,839.52	Professional		$1,502.48	$1,621.54	$2,839.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2,605.41 / $2,605.41 / $2,605.41	Professional		$2,605.41	$2,605.41	$2,605.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $323.00 / $400.00 / $10,000.00	Facility		$323.00	$400.00	$10,000.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,500.48 / $2,246.87 / $3,682.23	Professional		$1,500.48	$2,246.87	$3,682.23
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $9,460.00 / $21,065.00 / $32,051.00	Facility		$9,460.00	$21,065.00	$32,051.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $1,215.85 / $1,302.71 / $2,627.17	Professional		$1,215.85	$1,302.71	$2,627.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $151.96 / $1,480.12 / $2,150.70	Professional		$151.96	$1,480.12	$2,150.70
United Facility/Professional Facility Modifier Low / Median / High Price $677.00 / $5,417.00 / $13,093.00	Facility		$677.00	$5,417.00	$13,093.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,542.22 / $2,154.11 / $3,684.21	Professional		$1,542.22	$2,154.11	$3,684.21
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,297.30 / $1,297.30 / $1,297.30	Professional		$1,297.30	$1,297.30	$1,297.30