Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,060.39 / $5,839.00 / $11,576.00	Facility		$1,060.39	$5,839.00	$11,576.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,060.39 / $1,148.78 / $1,999.47	Professional		$1,060.39	$1,148.78	$1,999.47
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,601.82 / $1,601.82 / $1,601.82	Professional		$1,601.82	$1,601.82	$1,601.82
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 $1,048.25 / $1,568.49 / $2,615.32	Professional		$1,048.25	$1,568.49	$2,615.32
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $9,624.00 / $21,162.00 / $32,051.00	Facility		$9,624.00	$21,162.00	$32,051.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $830.57 / $889.90 / $1,794.65	Professional		$830.57	$889.90	$1,794.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $90.62 / $1,098.70 / $1,510.89	Professional		$90.62	$1,098.70	$1,510.89
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 $1,082.89 / $1,527.37 / $2,783.53	Professional		$1,082.89	$1,527.37	$2,783.53
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $877.04 / $877.04 / $877.04	Professional		$877.04	$877.04	$877.04