Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $829.00 / $5,024.14 / $11,576.00	Facility		$829.00	$5,024.14	$11,576.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $204.98 / $1,897.91 / $3,345.32	Professional		$204.98	$1,897.91	$3,345.32
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $140.35 / $200.71 / $323.73	Professional		$140.35	$200.71	$323.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $323.00 / $400.00 / $10,000.00	Facility		$323.00	$400.00	$10,000.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $220.84 / $759.38 / $4,026.96	Professional		$220.84	$759.38	$4,026.96
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 $1,226.76 / $1,314.39 / $2,736.62	Professional		$1,226.76	$1,314.39	$2,736.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,356.09 / $2,028.04 / $2,690.74	Professional		$1,356.09	$2,028.04	$2,690.74
United Facility/Professional Facility Modifier Low / Median / High Price $4,072.00 / $12,923.00 / $19,866.00	Facility		$4,072.00	$12,923.00	$19,866.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,087.52 / $2,973.97 / $5,124.07	Professional		$2,087.52	$2,973.97	$5,124.07
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $164.94 / $1,455.35 / $1,455.35	Professional		$164.94	$1,455.35	$1,455.35