Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $481.11 / $3,279.00 / $11,576.00	Facility		$481.11	$3,279.00	$11,576.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $139.09 / $475.80 / $903.88	Professional		$139.09	$475.80	$903.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $154.00 / $172.93 / $644.69	Professional		$154.00	$172.93	$644.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $283.56 / $519.22 / $626.79	Facility		$283.56	$519.22	$626.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $161.87 / $438.48 / $1,035.76	Professional		$161.87	$438.48	$1,035.76
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $2,578.00 / $4,823.00 / $9,635.00	Facility		$2,578.00	$4,823.00	$9,635.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $325.70 / $512.66 / $830.94	Professional		$325.70	$512.66	$830.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $458.49 / $704.34 / $1,064.13	Professional		$458.49	$704.34	$1,064.13
United Facility/Professional Facility Modifier Low / Median / High Price $803.00 / $3,611.00 / $8,105.00	Facility		$803.00	$3,611.00	$8,105.00
United Facility/Professional Professional Modifier Low / Median / High Price $498.44 / $729.83 / $1,334.58	Professional		$498.44	$729.83	$1,334.58
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $126.13 / $516.01 / $516.01	Professional		$126.13	$516.01	$516.01