Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $769.00 / $4,790.00 / $13,821.00	Facility		$769.00	$4,790.00	$13,821.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.15 / $1,532.57 / $2,475.02	Professional		$69.15	$1,532.57	$2,475.02
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $82.93 / $82.93 / $82.93	Professional		$82.93	$82.93	$82.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $148.97 / $2,003.83 / $2,530.00	Facility		$148.97	$2,003.83	$2,530.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.98 / $1,267.93 / $3,600.35	Professional		$78.98	$1,267.93	$3,600.35
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $5,396.00 / $12,635.00 / $22,945.00	Facility		$5,396.00	$12,635.00	$22,945.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $106.29 / $1,566.57 / $2,360.56	Professional		$106.29	$1,566.57	$2,360.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $110.46 / $2,144.83 / $3,016.99	Professional		$110.46	$2,144.83	$3,016.99
United Facility/Professional Facility Modifier Low / Median / High Price $3,320.00 / $10,309.00 / $15,888.00	Facility		$3,320.00	$10,309.00	$15,888.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,519.89 / $2,181.79 / $3,712.52	Professional		$1,519.89	$2,181.79	$3,712.52
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $66.89 / $71.13 / $71.13	Professional		$66.89	$71.13	$71.13