Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $526.00 / $4,109.00 / $11,576.00	Facility		$526.00	$4,109.00	$11,576.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $334.33 / $1,189.55 / $1,990.21	Professional		$334.33	$1,189.55	$1,990.21
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $240.22 / $330.97 / $1,275.44	Professional		$240.22	$330.97	$1,275.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $323.00 / $597.94 / $4,264.45	Facility		$323.00	$597.94	$4,264.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $372.78 / $887.24 / $2,621.08	Professional		$372.78	$887.24	$2,621.08
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 $872.74 / $1,276.73 / $1,819.34	Professional		$872.74	$1,276.73	$1,819.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $872.80 / $1,377.78 / $2,252.43	Professional		$872.80	$1,377.78	$2,252.43
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 $1,207.81 / $1,815.53 / $3,176.63	Professional		$1,207.81	$1,815.53	$3,176.63
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $266.81 / $1,014.91 / $1,014.91	Professional		$266.81	$1,014.91	$1,014.91