Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $589.54 / $610.36 / $6,748.42	Facility		$589.54	$610.36	$6,748.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $733.32 / $7,712.05 / $12,887.50	Professional		$733.32	$7,712.05	$12,887.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $812.52 / $812.52 / $936.35	Professional		$812.52	$812.52	$936.35
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $5,855.00 / $12,685.00 / $23,031.00	Facility		$5,855.00	$12,685.00	$23,031.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $5,368.06 / $5,751.50 / $11,599.02	Professional		$5,368.06	$5,751.50	$11,599.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $5,764.56 / $8,857.45 / $11,768.78	Professional		$5,764.56	$8,857.45	$11,768.78
United Facility/Professional Professional Modifier Low / Median / High Price $7,423.36 / $11,112.00 / $18,237.09	Professional		$7,423.36	$11,112.00	$18,237.09
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $517.54 / $3,072.19 / $3,072.19	Professional		$517.54	$3,072.19	$3,072.19