Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $3,630.78 / $10,715.19	Facility		$707.95	$3,630.78	$10,715.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $295.12 / $645.65	Professional		$181.97	$295.12	$645.65
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $223.87 / $346.74	Professional		$125.89	$223.87	$346.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $19,952.62 / $47,863.01	Facility		$616.60	$19,952.62	$47,863.01
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $31.62 / $31.62 / $31.62	Facility	AS	$31.62	$31.62	$31.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $288.40 / $446.68	Professional		$173.78	$288.40	$446.68
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $4,786.30 / $9,549.93	Facility		$2,691.53	$4,786.30	$9,549.93
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $169.82 / $295.12	Professional		$162.18	$169.82	$295.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $269.15	Professional		$32.36	$33.11	$269.15
United Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $3,630.78 / $10,715.19	Facility		$933.25	$3,630.78	$10,715.19
United Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $269.15 / $489.78	Professional		$177.83	$269.15	$489.78
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $144.54 / $169.82	Professional		$144.54	$144.54	$169.82