Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $412.00 / $3,486.78 / $10,086.00	Facility		$412.00	$3,486.78	$10,086.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.40 / $955.40 / $1,635.06	Professional		$85.40	$955.40	$1,635.06
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $82.76 / $145.86 / $761.13	Professional		$82.76	$145.86	$761.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $150.18 / $150.18 / $3,852.47	Facility		$150.18	$150.18	$3,852.47
Cigna Facility/Professional Facility Modifier 62 Low / Median / High Price $93.86 / $93.86 / $93.86	Facility	62	$93.86	$93.86	$93.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.79 / $278.61 / $2,073.61	Professional		$96.79	$278.61	$2,073.61
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $1,188.07 / $2,674.00 / $6,584.00	Facility		$1,188.07	$2,674.00	$6,584.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $613.82 / $1,376.36 / $1,800.10	Professional		$613.82	$1,376.36	$1,800.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $587.61 / $908.97 / $1,461.12	Professional		$587.61	$908.97	$1,461.12
United Facility/Professional Facility Modifier Low / Median / High Price $366.00 / $1,916.00 / $4,970.00	Facility		$366.00	$1,916.00	$4,970.00
United Facility/Professional Professional Modifier Low / Median / High Price $982.59 / $1,461.23 / $2,636.06	Professional		$982.59	$1,461.23	$2,636.06
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $66.64 / $679.16 / $679.16	Professional		$66.64	$679.16	$679.16