Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $630.00 / $4,245.00 / $11,576.00	Facility		$630.00	$4,245.00	$11,576.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $160.60 / $1,394.24 / $2,426.60	Professional		$160.60	$1,394.24	$2,426.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $294.12 / $1,458.00 / $2,085.80	Professional		$294.12	$1,458.00	$2,085.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $323.00 / $1,390.27 / $1,655.08	Facility		$323.00	$1,390.27	$1,655.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $176.32 / $453.30 / $3,008.24	Professional		$176.32	$453.30	$3,008.24
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $5,855.00 / $12,685.00 / $23,031.00	Facility		$5,855.00	$12,685.00	$23,031.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $1,020.60 / $1,093.50 / $2,205.25	Professional		$1,020.60	$1,093.50	$2,205.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,421.09 / $1,779.23 / $2,303.32	Professional		$1,421.09	$1,779.23	$2,303.32
United Facility/Professional Facility Modifier Low / Median / High Price $4,072.00 / $12,923.00 / $19,866.00	Facility		$4,072.00	$12,923.00	$19,866.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,657.43 / $2,383.78 / $4,191.97	Professional		$1,657.43	$2,383.78	$4,191.97
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $145.76 / $1,306.63 / $1,306.63	Professional		$145.76	$1,306.63	$1,306.63