Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,111.00 / $4,012.00 / $13,066.00	Facility		$1,111.00	$4,012.00	$13,066.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.13 / $231.78 / $447.84	Professional		$173.13	$231.78	$447.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $104.26 / $227.19 / $389.34	Professional		$104.26	$227.19	$389.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $630.35 / $19,890.00 / $58,053.00	Facility		$630.35	$19,890.00	$58,053.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.75 / $277.14 / $434.37	Professional		$181.75	$277.14	$434.37
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $2,561.00 / $4,821.00 / $9,360.00	Facility		$2,561.00	$4,821.00	$9,360.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $151.65 / $162.47 / $394.44	Professional		$151.65	$162.47	$394.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $129.25 / $206.62 / $301.36	Professional		$129.25	$206.62	$301.36
United Facility/Professional Facility Modifier Low / Median / High Price $803.00 / $4,412.00 / $12,394.00	Facility		$803.00	$4,412.00	$12,394.00
United Facility/Professional Professional Modifier Low / Median / High Price $205.31 / $298.64 / $543.17	Professional		$205.31	$298.64	$543.17
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $144.26 / $169.28 / $169.28	Professional		$144.26	$169.28	$169.28