Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $981.00 / $5,439.00 / $11,478.41	Facility		$981.00	$5,439.00	$11,478.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $319.35 / $1,211.18 / $2,039.48	Professional		$319.35	$1,211.18	$2,039.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $315.88 / $434.07 / $494.93	Professional		$315.88	$434.07	$494.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $323.00 / $1,583.55 / $1,885.18	Facility		$323.00	$1,583.55	$1,885.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $344.90 / $1,029.19 / $2,612.73	Professional		$344.90	$1,029.19	$2,612.73
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $4,169.00 / $8,416.00 / $15,897.00	Facility		$4,169.00	$8,416.00	$15,897.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $932.89 / $999.53 / $2,015.74	Professional		$932.89	$999.53	$2,015.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,028.99 / $1,537.76 / $2,018.46	Professional		$1,028.99	$1,537.76	$2,018.46
United Facility/Professional Facility Modifier Low / Median / High Price $2,637.00 / $8,136.00 / $12,748.00	Facility		$2,637.00	$8,136.00	$12,748.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,301.82 / $1,926.07 / $3,483.56	Professional		$1,301.82	$1,926.07	$3,483.56
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $258.89 / $1,092.79 / $1,092.79	Professional		$258.89	$1,092.79	$1,092.79