Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $5,495.41 / $10,964.78	Facility		$1,047.13	$5,495.41	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $77.62 / $158.49	Professional		$61.66	$77.62	$158.49
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $66.07 / $66.07	Professional		$66.07	$66.07	$66.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $21,877.62 / $47,863.01	Facility		$398.11	$21,877.62	$47,863.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $89.13 / $144.54	Professional		$56.23	$89.13	$144.54
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $9,332.54 / $21,379.62 / $33,113.11	Facility		$9,332.54	$21,379.62	$33,113.11
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $41.69 / $74.13	Professional		$40.74	$41.69	$74.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $83.18	Professional		$32.36	$33.11	$83.18
United Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $5,248.07 / $12,302.69	Facility		$676.08	$5,248.07	$12,302.69
United Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $85.11 / $147.91	Professional		$57.54	$85.11	$147.91
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $51.29 / $51.29	Professional		$51.29	$51.29	$51.29