Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $377.00 / $3,279.00 / $11,550.00	Facility		$377.00	$3,279.00	$11,550.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $227.02 / $1,054.28 / $1,648.48	Professional		$227.02	$1,054.28	$1,648.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $227.52 / $271.64 / $366.96	Professional		$227.52	$271.64	$366.96
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 $242.07 / $758.26 / $2,178.34	Professional		$242.07	$758.26	$2,178.34
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $1,240.00 / $2,694.00 / $6,696.00	Facility		$1,240.00	$2,694.00	$6,696.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $739.11 / $791.90 / $2,093.58	Professional		$739.11	$791.90	$2,093.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $786.01 / $1,216.48 / $1,590.81	Professional		$786.01	$1,216.48	$1,590.81
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 $1,153.42 / $1,695.18 / $2,780.84	Professional		$1,153.42	$1,695.18	$2,780.84
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $182.81 / $393.80 / $393.80	Professional		$182.81	$393.80	$393.80