Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,309.79 / $5,839.00 / $11,624.00	Facility		$1,309.79	$5,839.00	$11,624.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,309.79 / $1,517.03 / $2,202.33	Professional		$1,309.79	$1,517.03	$2,202.33
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,221.11 / $1,221.11 / $1,221.11	Professional		$1,221.11	$1,221.11	$1,221.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $500.00 / $4,675.14	Facility		$400.00	$500.00	$4,675.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,289.32 / $1,965.48 / $3,048.10	Professional		$1,289.32	$1,965.48	$3,048.10
Florida Blue Facility/Professional Facility Modifier Low / Median / High Price $9,624.00 / $21,162.00 / $32,051.00	Facility		$9,624.00	$21,162.00	$32,051.00
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $713.85 / $1,244.92 / $1,875.89	Professional		$713.85	$1,244.92	$1,875.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $149.67 / $1,288.53 / $2,074.05	Professional		$149.67	$1,288.53	$2,074.05
United Facility/Professional Facility Modifier Low / Median / High Price $3,595.00 / $12,291.00 / $18,694.00	Facility		$3,595.00	$12,291.00	$18,694.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,172.22 / $1,621.12 / $3,050.48	Professional		$1,172.22	$1,621.12	$3,050.48
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,114.09 / $1,114.09 / $1,114.09	Professional		$1,114.09	$1,114.09	$1,114.09