Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $714.00 / $3,279.00 / $10,802.00	Facility		$714.00	$3,279.00	$10,802.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.41 / $1,245.93 / $1,935.28	Professional		$108.41	$1,245.93	$1,935.28
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,025.33 / $1,046.39 / $1,518.95	Professional		$1,025.33	$1,046.39	$1,518.95
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $1,565.42 / $1,569.59 / $1,569.59	Professional	50	$1,565.42	$1,569.59	$1,569.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $323.00 / $977.92 / $1,164.19	Facility		$323.00	$977.92	$1,164.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.09 / $305.89 / $2,258.82	Professional		$117.09	$305.89	$2,258.82
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $3,144.00 / $5,731.00 / $11,037.00	Facility		$3,144.00	$5,731.00	$11,037.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $787.61 / $843.87 / $1,701.82	Professional		$787.61	$843.87	$1,701.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $933.98 / $1,299.37 / $1,722.83	Professional		$933.98	$1,299.37	$1,722.83
United Facility/Professional Facility Modifier Low / Median / High Price $803.00 / $3,611.00 / $8,105.00	Facility		$803.00	$3,611.00	$8,105.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,300.76 / $1,799.60 / $3,401.94	Professional		$1,300.76	$1,799.60	$3,401.94
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $90.38 / $933.98 / $933.98	Professional		$90.38	$933.98	$933.98