Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $769.00 / $6,930.00 / $18,969.96	Facility		$769.00	$6,930.00	$18,969.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $140.13 / $1,578.29 / $2,312.83	Professional		$140.13	$1,578.29	$2,312.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $225.59 / $1,387.74 / $1,387.74	Professional		$225.59	$1,387.74	$1,387.74
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 $147.66 / $509.80 / $2,875.22	Professional		$147.66	$509.80	$2,875.22
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $9,538.00 / $23,016.00 / $45,285.00	Facility		$9,538.00	$23,016.00	$45,285.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $1,044.53 / $1,119.14 / $2,256.96	Professional		$1,044.53	$1,119.14	$2,256.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,163.82 / $1,745.24 / $2,323.63	Professional		$1,163.82	$1,745.24	$2,323.63
United Facility/Professional Facility Modifier Low / Median / High Price $4,072.00 / $13,248.00 / $30,169.00	Facility		$4,072.00	$13,248.00	$30,169.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,299.89 / $2,096.19 / $3,430.26	Professional		$1,299.89	$2,096.19	$3,430.26
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $112.85 / $1,239.59 / $1,239.59	Professional		$112.85	$1,239.59	$1,239.59