Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $680.22 / $5,839.00 / $11,576.00	Facility		$680.22	$5,839.00	$11,576.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $640.21 / $681.82 / $1,197.73	Professional		$640.21	$681.82	$1,197.73
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $352.37 / $352.37 / $1,155.14	Professional		$352.37	$352.37	$1,155.14
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 $620.44 / $916.96 / $1,593.84	Professional		$620.44	$916.96	$1,593.84
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $4,279.00 / $8,458.00 / $15,897.00	Facility		$4,279.00	$8,458.00	$15,897.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $493.32 / $528.55 / $1,065.94	Professional		$493.32	$528.55	$1,065.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $48.51 / $696.77 / $890.05	Professional		$48.51	$696.77	$890.05
United Facility/Professional Facility Modifier Low / Median / High Price $2,637.00 / $8,197.00 / $12,748.00	Facility		$2,637.00	$8,197.00	$12,748.00
United Facility/Professional Professional Modifier Low / Median / High Price $623.57 / $886.46 / $1,592.53	Professional		$623.57	$886.46	$1,592.53
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $522.90 / $522.90 / $522.90	Professional		$522.90	$522.90	$522.90