Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $545.00 / $4,542.00 / $11,576.00	Facility		$545.00	$4,542.00	$11,576.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $399.23 / $452.97 / $735.60	Professional		$399.23	$452.97	$735.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $315.14 / $315.14 / $315.14	Professional		$315.14	$315.14	$315.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $432.00 / $1,583.55 / $1,885.18	Facility		$432.00	$1,583.55	$1,885.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $398.94 / $622.97 / $961.95	Professional		$398.94	$622.97	$961.95
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $4,169.00 / $8,416.00 / $15,897.00	Facility		$4,169.00	$8,416.00	$15,897.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $326.81 / $350.16 / $706.16	Professional		$326.81	$350.16	$706.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $41.40 / $455.65 / $594.93	Professional		$41.40	$455.65	$594.93
United Facility/Professional Facility Modifier Low / Median / High Price $2,637.00 / $8,136.00 / $12,748.00	Facility		$2,637.00	$8,136.00	$12,748.00
United Facility/Professional Professional Modifier Low / Median / High Price $429.61 / $598.40 / $1,047.96	Professional		$429.61	$598.40	$1,047.96
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $348.01 / $348.01 / $348.01	Professional		$348.01	$348.01	$348.01