Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $602.00 / $3,751.00 / $11,576.00	Facility		$602.00	$3,751.00	$11,576.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $137.74 / $1,303.60 / $1,909.68	Professional		$137.74	$1,303.60	$1,909.68
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,100.49 / $1,100.49 / $1,166.64	Professional		$1,100.49	$1,100.49	$1,166.64
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 $151.33 / $388.78 / $2,416.39	Professional		$151.33	$388.78	$2,416.39
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 $828.33 / $887.49 / $1,789.81	Professional		$828.33	$887.49	$1,789.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,027.38 / $1,424.38 / $1,862.30	Professional		$1,027.38	$1,424.38	$1,862.30
United Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $3,611.00 / $6,730.00	Facility		$1,000.00	$3,611.00	$6,730.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,364.83 / $1,919.57 / $3,366.81	Professional		$1,364.83	$1,919.57	$3,366.81
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $114.13 / $980.19 / $980.19	Professional		$114.13	$980.19	$980.19