Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $778.00 / $6,024.00 / $13,230.00	Facility		$778.00	$6,024.00	$13,230.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $413.77 / $1,646.20 / $2,812.28	Professional		$413.77	$1,646.20	$2,812.28
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $198.07 / $287.52 / $668.85	Professional		$198.07	$287.52	$668.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $323.00 / $11,904.34 / $14,171.84	Facility		$323.00	$11,904.34	$14,171.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $432.39 / $1,179.58 / $3,386.44	Professional		$432.39	$1,179.58	$3,386.44
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $5,855.00 / $12,742.00 / $23,031.00	Facility		$5,855.00	$12,742.00	$23,031.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $1,067.16 / $1,143.38 / $3,103.03	Professional		$1,067.16	$1,143.38	$3,103.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,162.61 / $1,761.44 / $2,309.01	Professional		$1,162.61	$1,761.44	$2,309.01
United Facility/Professional Facility Modifier Low / Median / High Price $4,364.00 / $12,843.00 / $18,694.00	Facility		$4,364.00	$12,843.00	$18,694.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,759.73 / $2,522.01 / $4,349.55	Professional		$1,759.73	$2,522.01	$4,349.55
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $322.22 / $697.36 / $697.36	Professional		$322.22	$697.36	$697.36