Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $412.00 / $3,279.00 / $11,576.00	Facility		$412.00	$3,279.00	$11,576.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $161.82 / $1,448.82 / $2,224.44	Professional		$161.82	$1,448.82	$2,224.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $206.94 / $206.94 / $1,520.56	Professional		$206.94	$206.94	$1,520.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $323.00 / $323.00 / $323.00	Facility		$323.00	$323.00	$323.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $187.23 / $460.79 / $2,988.71	Professional		$187.23	$460.79	$2,988.71
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $1,240.00 / $2,689.00 / $6,696.00	Facility		$1,240.00	$2,689.00	$6,696.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $1,144.50 / $1,226.25 / $2,472.98	Professional		$1,144.50	$1,226.25	$2,472.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,261.79 / $1,886.83 / $2,526.72	Professional		$1,261.79	$1,886.83	$2,526.72
United Facility/Professional Facility Modifier Low / Median / High Price $345.00 / $1,916.00 / $4,970.00	Facility		$345.00	$1,916.00	$4,970.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,624.72 / $2,317.65 / $3,993.42	Professional		$1,624.72	$2,317.65	$3,993.42
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $149.62 / $1,356.79 / $1,356.79	Professional		$149.62	$1,356.79	$1,356.79