Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $602.00 / $4,790.00 / $11,576.00	Facility		$602.00	$4,790.00	$11,576.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $110.67 / $134.40 / $199.48	Professional		$110.67	$134.40	$199.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $109.49 / $109.49 / $176.60	Professional		$109.49	$109.49	$176.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,999.81 / $19,890.00 / $58,053.00	Facility		$2,999.81	$19,890.00	$58,053.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $110.74 / $181.91 / $262.64	Professional		$110.74	$181.91	$262.64
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $5,979.00 / $12,759.00 / $23,031.00	Facility		$5,979.00	$12,759.00	$23,031.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $82.41 / $88.30 / $178.07	Professional		$82.41	$88.30	$178.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $78.33 / $107.70 / $137.84	Professional		$78.33	$107.70	$137.84
United Facility/Professional Facility Modifier Low / Median / High Price $4,072.00 / $11,948.00 / $18,694.00	Facility		$4,072.00	$11,948.00	$18,694.00
United Facility/Professional Professional Modifier Low / Median / High Price $112.80 / $169.00 / $279.06	Professional		$112.80	$169.00	$279.06
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $90.90 / $90.90 / $90.90	Professional		$90.90	$90.90	$90.90