Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $825.00 / $6,086.00 / $18,495.00	Facility		$825.00	$6,086.00	$18,495.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $278.62 / $971.72 / $1,618.55	Professional		$278.62	$971.72	$1,618.55
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $289.22 / $1,125.57 / $1,125.57	Professional		$289.22	$1,125.57	$1,125.57
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 $304.56 / $707.90 / $2,000.09	Professional		$304.56	$707.90	$2,000.09
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 $777.04 / $832.54 / $1,678.98	Professional		$777.04	$832.54	$1,678.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $137.16 / $1,080.84 / $1,462.77	Professional		$137.16	$1,080.84	$1,462.77
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 $1,058.28 / $1,497.08 / $2,531.13	Professional		$1,058.28	$1,497.08	$2,531.13
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $237.96 / $466.61 / $466.61	Professional		$237.96	$466.61	$466.61