Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $622.86 / $644.85 / $8,831.95	Facility		$622.86	$644.85	$8,831.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $796.11 / $11,879.50 / $20,677.90	Professional		$796.11	$11,879.50	$20,677.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $681.48 / $681.48 / $9,333.78	Professional		$681.48	$681.48	$9,333.78
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 $7,025.42 / $7,527.24 / $15,180.16	Professional		$7,025.42	$7,527.24	$15,180.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $7,465.02 / $11,603.84 / $15,436.33	Professional		$7,465.02	$11,603.84	$15,436.33
United Facility/Professional Facility Modifier Low / Median / High Price $23,744.00 / $23,744.00 / $23,744.00	Facility		$23,744.00	$23,744.00	$23,744.00
United Facility/Professional Professional Modifier Low / Median / High Price $11,487.81 / $16,578.82 / $27,614.44	Professional		$11,487.81	$16,578.82	$27,614.44
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $551.50 / $3,818.19 / $3,818.19	Professional		$551.50	$3,818.19	$3,818.19