Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,115.00 / $7,601.00 / $18,058.88	Facility		$1,115.00	$7,601.00	$18,058.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $614.37 / $708.48 / $1,224.36	Professional		$614.37	$708.48	$1,224.36
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $699.78 / $758.42 / $1,381.18	Professional		$699.78	$758.42	$1,381.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,583.55 / $19,890.00 / $58,053.00	Facility		$1,583.55	$19,890.00	$58,053.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $561.35 / $821.57 / $1,282.83	Professional		$561.35	$821.57	$1,282.83
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 $463.89 / $497.03 / $1,002.36	Professional		$463.89	$497.03	$1,002.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.54 / $666.64 / $876.54	Professional		$45.54	$666.64	$876.54
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 $543.16 / $805.05 / $1,431.98	Professional		$543.16	$805.05	$1,431.98
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $495.58 / $495.58 / $495.58	Professional		$495.58	$495.58	$495.58