Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $551.00 / $4,109.00 / $10,632.00	Facility		$551.00	$4,109.00	$10,632.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $250.27 / $1,092.80 / $1,807.51	Professional		$250.27	$1,092.80	$1,807.51
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $234.42 / $234.42	Professional		$234.42	$234.42	$234.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $323.00 / $428.65 / $3,920.43	Facility		$323.00	$428.65	$3,920.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $277.43 / $858.73 / $2,388.94	Professional		$277.43	$858.73	$2,388.94
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $4,189.00 / $8,488.00 / $16,195.00	Facility		$4,189.00	$8,488.00	$16,195.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $795.81 / $1,159.29 / $1,651.99	Professional		$795.81	$1,159.29	$1,651.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $806.23 / $1,272.41 / $2,081.82	Professional		$806.23	$1,272.41	$2,081.82
United Facility/Professional Facility Modifier Low / Median / High Price $2,637.00 / $8,267.00 / $12,989.00	Facility		$2,637.00	$8,267.00	$12,989.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,101.18 / $1,641.60 / $2,916.72	Professional		$1,101.18	$1,641.60	$2,916.72
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $190.47 / $933.47 / $933.47	Professional		$190.47	$933.47	$933.47