Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $592.54 / $4,101.12 / $10,802.00	Facility		$592.54	$4,101.12	$10,802.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $163.98 / $558.74 / $1,102.54	Professional		$163.98	$558.74	$1,102.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $165.91 / $214.08 / $635.03	Professional		$165.91	$214.08	$635.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,012.98 / $19,890.00 / $58,053.00	Facility		$2,012.98	$19,890.00	$58,053.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $182.31 / $532.66 / $1,202.32	Professional		$182.31	$532.66	$1,202.32
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 $477.98 / $512.12 / $1,032.79	Professional		$477.98	$512.12	$1,032.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $69.55 / $653.48 / $877.85	Professional		$69.55	$653.48	$877.85
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 $631.98 / $914.01 / $1,598.62	Professional		$631.98	$914.01	$1,598.62
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $138.38 / $301.39 / $301.39	Professional		$138.38	$301.39	$301.39