Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $904.00 / $5,750.00 / $15,869.70	Facility		$904.00	$5,750.00	$15,869.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $405.02 / $1,792.13 / $5,714.55	Professional		$405.02	$1,792.13	$5,714.55
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3,705.60 / $3,705.60 / $3,705.60	Professional		$3,705.60	$3,705.60	$3,705.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $323.00 / $6,433.31 / $7,658.70	Facility		$323.00	$6,433.31	$7,658.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $414.02 / $1,125.70 / $7,650.40	Professional		$414.02	$1,125.70	$7,650.40
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 $2,789.16 / $2,988.39 / $6,026.67	Professional		$2,789.16	$2,988.39	$6,026.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $3,088.52 / $4,604.16 / $6,111.91	Professional		$3,088.52	$4,604.16	$6,111.91
United Facility/Professional Facility Modifier Low / Median / High Price $7,368.00 / $13,564.00 / $22,487.00	Facility		$7,368.00	$13,564.00	$22,487.00
United Facility/Professional Professional Modifier Low / Median / High Price $3,888.50 / $5,508.93 / $9,366.35	Professional		$3,888.50	$5,508.93	$9,366.35
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $318.64 / $2,508.35 / $2,508.35	Professional		$318.64	$2,508.35	$2,508.35