Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $545.00 / $3,276.00 / $10,632.00	Facility		$545.00	$3,276.00	$10,632.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $300.35 / $1,468.75 / $2,463.91	Professional		$300.35	$1,468.75	$2,463.91
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $136.26 / $183.22 / $224.82	Professional		$136.26	$183.22	$224.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $299.66 / $315.43 / $569.66	Facility		$299.66	$315.43	$569.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $337.20 / $987.13 / $3,186.11	Professional		$337.20	$987.13	$3,186.11
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $50.91 / $54.30 / $58.72	Facility		$50.91	$54.30	$58.72
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $349.64 / $1,170.25 / $2,233.44	Professional		$349.64	$1,170.25	$2,233.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,181.35 / $1,883.22 / $3,037.76	Professional		$1,181.35	$1,883.22	$3,037.76
United Facility/Professional Facility Modifier Low / Median / High Price $351.00 / $1,916.00 / $4,970.00	Facility		$351.00	$1,916.00	$4,970.00
United Facility/Professional Professional Modifier Low / Median / High Price $820.60 / $2,118.19 / $3,855.47	Professional		$820.60	$2,118.19	$3,855.47
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $254.56 / $1,372.11 / $1,372.11	Professional		$254.56	$1,372.11	$1,372.11