Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $644.00 / $5,070.78 / $16,996.00	Facility		$644.00	$5,070.78	$16,996.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $235.44 / $605.54 / $1,251.16	Professional		$235.44	$605.54	$1,251.16
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $235.44 / $305.91 / $571.13	Professional		$235.44	$305.91	$571.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,583.55 / $19,890.00 / $58,053.00	Facility		$1,583.55	$19,890.00	$58,053.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $259.07 / $584.51 / $1,293.78	Professional		$259.07	$584.51	$1,293.78
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $4,169.00 / $8,416.00 / $15,897.00	Facility		$4,169.00	$8,416.00	$15,897.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $515.63 / $552.46 / $1,114.15	Professional		$515.63	$552.46	$1,114.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $69.55 / $741.51 / $1,007.48	Professional		$69.55	$741.51	$1,007.48
United Facility/Professional Facility Modifier Low / Median / High Price $2,637.00 / $8,917.00 / $12,989.00	Facility		$2,637.00	$8,917.00	$12,989.00
United Facility/Professional Professional Modifier Low / Median / High Price $668.96 / $971.68 / $1,700.69	Professional		$668.96	$971.68	$1,700.69
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $196.09 / $433.55 / $433.55	Professional		$196.09	$433.55	$433.55