Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,115.00 / $6,930.00 / $22,052.00	Facility		$1,115.00	$6,930.00	$22,052.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $455.65 / $4,633.75 / $7,519.53	Professional		$455.65	$4,633.75	$7,519.53
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $510.62 / $510.62 / $510.62	Professional		$510.62	$510.62	$510.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $323.00 / $11,745.09 / $13,982.25	Facility		$323.00	$11,745.09	$13,982.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $490.21 / $1,269.55 / $9,566.50	Professional		$490.21	$1,269.55	$9,566.50
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $5,855.00 / $12,685.00 / $23,031.00	Facility		$5,855.00	$12,685.00	$23,031.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $3,259.35 / $3,492.16 / $7,042.62	Professional		$3,259.35	$3,492.16	$7,042.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $3,608.67 / $5,394.09 / $7,190.36	Professional		$3,608.67	$5,394.09	$7,190.36
United Facility/Professional Facility Modifier Low / Median / High Price $9,495.00 / $22,000.00 / $48,254.00	Facility		$9,495.00	$22,000.00	$48,254.00
United Facility/Professional Professional Modifier Low / Median / High Price $5,307.25 / $7,629.17 / $13,268.12	Professional		$5,307.25	$7,629.17	$13,268.12
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $380.69 / $3,871.48 / $3,871.48	Professional		$380.69	$3,871.48	$3,871.48