Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $630.00 / $4,594.00 / $11,576.00	Facility		$630.00	$4,594.00	$11,576.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $299.66 / $850.66 / $1,519.60	Professional		$299.66	$850.66	$1,519.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $411.95 / $411.95 / $759.19	Professional		$411.95	$411.95	$759.19
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 $362.29 / $860.19 / $1,990.72	Professional		$362.29	$860.19	$1,990.72
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 $779.52 / $835.20 / $1,684.34	Professional		$779.52	$835.20	$1,684.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $136.45 / $1,041.60 / $1,465.82	Professional		$136.45	$1,041.60	$1,465.82
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 $980.66 / $1,440.71 / $2,622.74	Professional		$980.66	$1,440.71	$2,622.74
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $294.89 / $534.96 / $534.96	Professional		$294.89	$534.96	$534.96